A nurse is caring for an 18-year-old client who is admitted to the clinic with t

Question

A nurse is caring for an 18-year-old client who is admitted to the clinic with the chief complaint of burning on urination for 2 days. The patient denies fever, nausea, or vomiting. She has recently started a new sexual relationship. She states she is currently using no medications. What other information should the nurse collect during the admission history? What physical examination should the nurse complete during the initial exam? What findings should the nurse expect on the urinalysis if this is a simple cystitis? How do urinary tract infections differ in pediatric and geriatric populations?

Explanation / Answer

1. The nurse should ask whether the patient had flu and common cold, whether she had frequent sexual activity, whether she had intaken any contraceptives, whether she had used any vaginal creams or chemicals in the genital area.

2. The nurse conducted the following physical examination :

Urinalysis, Urine culture and Clean-catch sample

3. The nurse finds the urine to be cloudy with foul smelling.

4. Urinary tract infections are benign among young sexually active women, whereas it is more complicated among individuals at either end of age spectrum. UTI in children can be treated with beta-lactams, cephalosporins. Presence of asymptomatic bacteriuria, benign urinary symptoms complicate diagnosis among older patients.

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