A nurse is conducting a health history on a patient who is seeing her health care provider for symptoms consistent with a UTI. The nurse understands that the most common route of infection is which of the following?

a) Due to a fistula (direct extension)
b) The result of urethra abrasion (sexual intercourse)
c) By ascending infection (transurethral)
d) Through the bloodstream (hematogenous spread)


Ans: c) By ascending infection (transurethral)
The most common route of infection is transurethral, in which bacteria colonize the periurethral area and enter the bladder by means of the urethra.

Nursing

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The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which of the following assessment findings would be most concerning to the nurse?

a. Excessive skin oiliness b. Edema formation c. Dry, macerated skin d. Increased lesion oozing

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A patient is diagnosed with Buerger's disease. What would be the most important teaching for this patient?

A) Information about anti-inflammatory medications B) Importance of protecting the extremities from cold C) Rationale for quitting smoking D) Anticoagulant therapy precautions

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What image of nurses do most members of the public have?

A. Trustworthy B. Oversupply C. Younger and poorly educated D. Powerful and outspoken

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While assessing a new patient on the unit, the nurse notes the following: productive cough, respiratory rate of 22, oxygen saturation of 90%, and increased secretions. The patient has a 20-year history of smoking 1.5 packs of cigarettes daily

What chronic condition might this patient have? A) Pneumonia B) Cystic fibrosis C) Pleural effusion D) Chronic obstructive pulmonary disease (COPD)

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