Urinary Tract Infection
These lower urinary tract symptoms include voiding more than every 2 hours, painful urination and the need to go right now.
What are frequency, dysuria, urgency.
Teach patients to urinate on this schedule to minimize urine stasis and acute retention.
What is every 2-3 hours and when they first feel the urge?
The nurse uses this technique on all patient urine to retrieve any spontaneously passes stones for analysis.
what is straining urine with gauze or a urine strainer?
When a nasogastric tube moves out of optimal drainage position or becomes plugged, the nurse assesses for these four findings?
What is decreased gastric output, nausea, vomiting and increased abdominal distention?
This first-line medication for anaphylaxis has no absolute contraindications and is given intramuscularly.
What is epinephrine?
This first choice antibiotic combination is inexpensive, taken twice daily and commonly used for uncomplicated UTIs.
Trimethoprim/sulfamethoxazole
Table 58.5 Common examples of Drug therapy
This physical examination technique is used to assess the prostate for size, symmetry and consistency.
What is a digital rectal examination?
the nurse promotes this patient activity to help move the stone from the upper to lower urinary tract, while ensuring safety assistance is available.
What is ambulation?
As obstruction progresses, the intestine becomes fatigued, resulting in these two bowel sound changes and increased abdominal pain.
What are decreased or absent bowel sounds?
these medications are added as adjunctive therapies for itching and urticaria during anaphylaxis.
What is diphenhydramine?
Elderly patients with UTI may present with only this symptom instead of typical urinary complaints.
What is confusion (mental status changes)?
Patients should avoid drinking large amounts of fluid at these specific times to reduce symptoms.
What are before going out or at bedtime?
When oliguria or anuria occurs with kidney stones, the nurse assesses for this finding that suggests obstruction.
What is bladder distention?
The nurse irrigates a properly placed NGT with this amount and type of solution every 4 hours or as ordered.
What is 30 mL of normal saline?
Epinephrine produces these three therapeutic effects during anaphylaxis.
What are vasoconstriction, improved cardiac contraction and bronchodilation?
This urinary analgesic, an azo dye, provides topical pain relief for severe dysuria and is taken for up to 2 concurrent days.
What is phenazopyridine?
Patients with BPH should avoid these substances that have a diuretic effect and worsen symptoms.
What are caffeine and alcohol?
These beverages---colas, coffee, and tea---should be limited because they increase the risk for recurring stones.
What are caffeinated beverages or drinks acidified with phosphoric acid?
IV fluid replacement typically includes 2 to 4 L of isotonic solution with added potassium, but the nurse monitors these three indicators daily, with this measure being the most reliable indicator of fluid balance.
What are lung sounds, weight and intake and output---with weight being most reliable?
During an SLE flare (exacerbation), patients may report these common symptoms that often precede the flare.
What are fever, weight loss, joint pain, malaise and fatigue?
Encouraging a patient to not wear tight clothes, no bubble baths and urinating before and after sexual intercourse.
What are urinary tract infection preventative measures?
These medication classes--anticholinergics, antihistamines, antipsychotics and muscle relaxants--should be avoided because they can cause this complication.
What is urinary retention?
The nurse should increase fluid intake to this target urine output daily to prevent stone occurrence, preferably by drinking 304 L of water.
What is approximately 2.5 L of urine per day?
Patients with colon obstruction may continue to have these because the colon distal to the obstruction continues to empty.
What are bowel movements?
This drug class is the cornerstone of SLE treatment and works as a general anti-inflammatory immunosuppressant, but causes side effects like moon face and buffalo hump with long-term use.
What are corticosteroids (such as prednisone)?