Urinary tract infection

A 75-year-old female was admitted to the hospital 3 weeks ago with a history of a urinary tract infection at home and was diagnosed with pyelonephritis upon admission. Despite treatment, her kidney infection progressed, and she developed acute kidney injury. After her antibiotic therapy was adjusted she recovered well enough to be discharged to her daughter’s home. The patient and her daughter were given discharge instructions to manage her prescriptions and health maintenance at home. She is now at the urology clinic for a 1-week follow-up appointment. Urine and blood samples were analyzed prior to her appointment. The nurse evaluates the effectiveness of actions.

NGN Item Type: Extended Multiple Response

Which of the following findings indicate effectiveness? Select all that apply.

_____ 1. The patient reports that she wipes front to back after urinating

_____ 2. The urinalysis report shows WBC >5/hpf (high), RBCs >4/hpf (high)

_____ 3. The patient reports that she drinks 4-5 glasses of fluid per day.

_____ 4. The patient voids approximately 3 times a day.

____ 5. The patient reports that she has stopped taking her antibiotic medication since she is now feeling “fine.”

_____ 6. The patient reports no flank pain.

_____ 7. Serum creatinine level is 1.0 mg/dL.

_____ 8. The patient states that she rests frequently.

Evaluate Outcomes