NR 601:WEEK 6 QUIZ
Which of the following symptoms is the most common subjective complaint of a woman presenting with an uncomplicated urinary tract infection?
urinary frequency fever
gastrointestinal upset suprapub
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NR 601:WEEK 6 QUIZ
Which of the following symptoms is the most common subjective complaint of a woman presenting with an uncomplicated urinary tract infection?
urinary frequency fever
gastrointestinal upset suprapubic tenderness
Dysuria is a classic presenting symptom in women with UTIs. Kennedy p. 289
An 89-year-old patient was recently an inpatient for pneumonia and was bedridden for 1 week. He presents today, to the office, with dysuria and suprapubic tenderness, accompanied by fever and increased confusion. Based on his recent history, which of the following conditions may be developing?
Cystitis
distended bladder prostate enlargement pulmonary embolus
Predisposing factors to the development of cystitis in older adults include indwelling catheters, urethral or condom catheters, incontinence (urinary and fecal), cognitive impairment, neurological conditions that impair bladder emptying, and diabetes, which can lead to neurogenic bladder. Kennedy p. 289
What bacteria colony count is required to diagnose uncomplicated cystitis? 10^5
10^6
10^4
10^2
The presence of greater than 105 colony-forming units/mL of a single bacterium in a culture of freshly voided urine is generally considered to be a significant bacteriuria. Kennedy p. 289
How does the female anatomy make women more susceptible to UTIs? the female urethra is shorter
women tend to get UTIs when they are pregnant
there is a longer distance between the urethra and anus asymptomatic UTIs do not resolve themselves without treatment
The woman’s shorter urethra is an anatomical variance as to why women are more susceptible to UTIs over their lifetime, along with the urethra’s proximity to rectal and vaginal flora, increasing the risk of cross-contamination. The length of the male urethra provides a protective barrier against ascending bacterial infection, especially before age 50 years. Kennedy p. 289
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