Author Show Raisa O Platte, MD, PhD Urogynecology Associate, Department of Obstetrics and Gynecology, Geisinger Health System Raisa O Platte, MD, PhD is a member of the following medical societies: American Medical Association, AAGL, American Urogynecologic Society, International Continence Society Disclosure: Nothing to disclose. Coauthor(s) Krystal Reynolds, DO, MHSA Resident Physician, Department of Obstetrics and Gynecology, Spectrum Health, Michigan State University College of Human Medicine Krystal Reynolds, DO, MHSA is a member of the following medical societies: American Congress of Obstetricians and Gynecologists, American Medical Association, Society for Maternal-Fetal Medicine Disclosure: Nothing to disclose. Chief Editor Edward David Kim, MD, FACS Professor of Urology, Department of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center Edward David Kim, MD, FACS is a member of the following medical societies: American Society for Reproductive Medicine, American Urological Association, Sexual Medicine Society of North America, Society for Male Reproduction and Urology, Society for the Study of Male Reproduction, Tennessee Medical Association Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Endo, Antares. Additional Contributors J Stuart Wolf, Jr, MD, FACS David A Bloom Professor of Urology, Associate Chair for Urologic Surgical Services, Director, Division of Endourology and Stone Disease, Department of Urology, University of Michigan Medical School J Stuart Wolf, Jr, MD, FACS is a member of the following medical societies: Catholic Medical Association, Endourological Society, Engineering and Urology Society, Society of Laparoendoscopic Surgeons, Society of University Urologists, Society of Urologic Oncology, American College of Surgeons, American Urological Association Disclosure: Nothing to disclose. Emilie Katherine Johnson, MD, MPH Head of Clinical Research, Attending Physician, Division of Urology, Ann and Robert H Lurie Children’s Hospital of Chicago; Assistant Professor of Urology, Assistant Professor, Center for Healthcare Studies, Institute for Public Health and Medicine Northwestern University, The Feinberg School of Medicine Emilie Katherine Johnson, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Urological Association, National Medical Association, Society of Women in Urology Disclosure: Nothing to disclose. Acknowledgements Gamal Mostafa Ghoniem, MD, FACS Professor of Urology, Chief, Division of Female Urology, Pelvic Reconstructive Surgery, and Voiding Dysfunction, Department of Urology, University of California, Irvine, School of Medicine Gamal Mostafa Ghoniem, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urogynecologic Society, American Urological Association, International Continence Society, International Urogynaecology Association, and Society of Urodynamics and Female Urology Disclosure: Astellas Honoraria Speaking and teaching; Coloplasty Consulting fee Board membership; Uroplasty Consulting fee Consulting Leticia A Jones, MD Clinical Instructor, Department of Obstetrics and Gynecology, Indiana University Hospital, Clarian Health Partners Leticia A Jones, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists Disclosure: Nothing to disclose. Mark Jeffrey Noble, MD Consulting Staff, Urologic Institute, Cleveland Clinic Foundation Mark Jeffrey Noble, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Urological Association, Kansas Medical Society, Sigma Xi, Society of University Urologists, and Southwest Oncology Group Disclosure: Nothing to disclose. Henry E Ruiz, MD Chief, Reconstructive Urology and Urodynamics, Urology Associates of South Texas, PA and Radiation Oncology Center Henry E Ruiz, MD is a member of the following medical societies: American Urological Association Disclosure: Nothing to disclose. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Medscape Salary Employment Patrick J Woodman, DO, Assistant Director, Urogynecology (FPMRS) Fellowship, Associate Clinical Professor, Indiana University School of Medicine; Consulting Staff, Department of Obstetrics and Gynecology, Methodist Hospital Patrick J Woodman, DO is a member of the following medical societies: American College of Obstetricians and Gynecologists; American College of Surgeons; American Osteopathic Association; American Urogynecologic Society; Association of Professors of Gynecology and Obstetrics; Indiana State Medical Association; International Continence Society Disclosure: Nothing to disclose.
Learn about the nursing care management of patients with urinary tract infection in this nursing study guide. What is Urinary Tract Infection?The urinary system is responsible for providing the route for drainage of urine formed by the kidneys, and these should be fully functional because the damage could easily affect other body systems.
ClassificationUTIs are classified by location and are further classified according to other factors and conditions.
PathophysiologyFor infection to occur, bacteria must gain access to the system.
Statistics & EpidemiologyUrinary tract infection cases are widespread around the world and affect both the young and the old.
CausesUTIs are primarily caused by bacteria that have invaded the urinary tract.
Clinical ManifestationsA variety of signs and symptoms are associated with UTI.
PreventionLuckily. UTI is a preventable disease mainly focusing on the hygienic practices of the individual.
ComplicationsEarly recognition of UTI and prompt treatment are essential to prevent recurrent infection and the possibility of complications.
Assessment and Diagnostic FindingsResults of various tests help confirm the diagnosis of UTI.
Medical ManagementManagement of UTIs typically involves pharmacologic therapy and patient education.
Nursing ManagementNursing care of the patient with UTI focuses on treating the underlying infection and preventing its recurrence. Nursing AssessmentA history of signs and symptoms related to UTI is obtained from the patient with a suspected UTI.
Nursing DiagnosisBased on the assessment data, the nursing diagnoses may include the following:
Nursing Care Planning & GoalsMain article: 6 Urinary Tract Infection Nursing Care Plans Major goals for the patient may include:
Nursing InterventionsNurses care for patients with urinary tract infection in all settings.
EvaluationExpected outcomes may include:
Discharge and Home Care GuidelinesCare of the patient with UTI must continue until at home because it has a high recurrence rate.
Documentation GuidelinesThe focus of documentation should include:
Practice Quiz: Urinary Tract InfectionPlease visit our nursing test bank for more NCLEX practice questions. 1. An example of an upper urinary tract infection is: A. Acute pyelonephritis. B. Cystitis. C. Prostatitis. D. Urethritis. 2. A sign of possible UTI is: A. A negative urine culture. B. An output of 200 to 900 mL with each voiding. C. Cloudy urine. D. Urine with specific gravity of 1.005 to 1.022. 3. The most common site of a lower UTI is the: A. Bladder B. Kidney C. Prostate D. Urethra 4. There is an increased risk of UTIs in the presence of: A. Altered metabolic states B. Immunosuppression. C. Urethral mucosa abrasion D. All of the above 5. Health information for a female patient diagnosed as having cystitis includes all of the following except: A. Cleanse around the perineum and urethral meatus from front to back. B. Drink liberal amounts of fluid. C. Shower rather than bathe in a tub. D. Void no more frequently than every 6 hours. 1. Answer: A. Acute pyelonephritis
2. Answer: C. Cloudy urine.
3. Answer: D. Urethra
4. Answer: D. All of the above
5. Answer: D. Void no more frequently than every 6 hours.
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