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24 Cards in this Set
- Front
- Back
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What organism accounts for 80% of UTIs?
What would you assess for if there is an unexplained fever? |
E.coli,
UTI |
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Why do females have a higher risk of UTIs?
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shorter urethra
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Why may male infants be at risk for UTIs?
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uncircumsised
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Which iother situations in children may cause stasis of urine?
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Stones, strictures, malformations, spinal problem pregnancy, constipation, holding urine b/c they are playing
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BOLDED: What should parents be taught about hygiene care for femal infants?
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wipe from front to back, no baths
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what about the hygiene for uncircumsised boys?
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retract foreskin, wash glands, pull foresking back over glands.
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The following situations contribute to UTIs. Explain prevention measures for each:
Potty training: Clothing: Bathing: Sexual activity: |
set schedule to go every 2 hrs, wipe front to back;
no tight clothing, wear cotton undies, no synthetics; no baths; pee before and after sex. |
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BOLDED: What are Signs of UTI in:
INfants and young: Older children and adolescents: |
I/Y= don't want to eat or play, behavior changes;
O/A= may not be eating, behavior changes, in general S/S of UTI= fever, hesitency, urgency, pain |
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BOLDED:Which indicators on the urine dipstick will show infection?
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increase leukocytes and increase nitrites
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BOLDED: What methods are used to collect urine specimens, non-invasively?, Infant & child not potty trained?, Child/Adolescent ?
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PUC, Clean Catch;
PUC; Clean catch mid stream |
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BOLDED: Invasive methods used to confirm the dix of a UTI for a Neonate? INfant, child, and adolescent?
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Suprapubic tap b/c urethra is to small for cath;
Straight cath |
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Why should a urin specimen be sent to the lab within one hr of obtaining th specimen? What else is required on the specimen when sent to the lab?
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To keep bacteria from growing,
Label |
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What will the nurse teach parents about antibiotic therapy and follow up?
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Take meds until gone as prescribed,
Follow up with physician for U/A to make sure infection is gone. |
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Lenght of administration of antibiotic therapy?
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7-10 days
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BOLDED:Why is Ditropan used for genitourinary problems or surgeries?
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to decrease bladder spasms
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Allergic considerations with Amoxicillin. Check for an allergy to ?
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penicillin
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What is the major GI side effect of Amoxicillin and Clavulanic Acid(Augmentin)?
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Diarrhea
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Allergic consideration wit sulfamtheoxazole and Trimethoprim, check allergy to ?
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Sulfonamides
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Health teaching for sulfonamides and Trimethoprim- Monitor for ?, ?, ?, ? and drinke plenty of ? and use ? when going out into the sun.
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nausea, vomiting, anorexia, rash;
water, sun screen |
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Follow-up visits and repeat urine cultures. When sould these be done?
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In the a.m.,
after antibiotic regimen is complete |
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What time of day should a urine specimen be obtained and why?
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in the morning, b/c the urine is most concentrated at this time.
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How does pyelonephritis differ from lower UTI?
What are signs of pyelonephritis? |
it involves the renal pelvis and kidney;
CVA tenderness, fever, pain, chills, RBCs in urine |
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Why are increased fluids important in the tx of UTIs and pyelonephritis? What should fluids be increased to to help exterminate an UTI?
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to flush out the infection,
1.5 times normal |
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Why do you think pyelonephritis may be tx more aggressively than lower UTIs?
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to prevent kidney damage
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