Nurs 1067 Week 11 Final Exam Review.

Nutritional Management for UTI's {Ans: Encourage adequate fluid intake;Avoid bladder irritants: -Caffeine -Alcohol -Citrus juices -Chocolate -Spicy foods/drinks}acute(Medical Management - Retention) {Ans: Immediate indwelling or intermittent catheterization required ;Indwelling: Catheter remains in bladder for long periods of time;Option if there is an obstruction or if client unwilling or unable to do intermittent catheterizations}chronic(Medical Management - Retention) {Ans: Post-void residuals of > 100ml should do intermittent catheterizations (take catheter out immediately after urine is evacuated)}Nursing Interventions {Ans: Modify environment so that it meets functional needs of client;Maintain skin integrity and prevent infection;Incontinence briefs and pads provided, but are a last resort since they do not solve the problem,Change frequently}UTI's {Ans: Women are more susceptible than men, More than 50% of women will have had a UTI in their lifetime}Physical Assessment {Ans: Signs and symptoms of dehydration;Inspect perineal area;Assess skin integrity, rash, discharge? ;Kidneys and bladder Distention → Retention Post-void residual → Retention (use of bladder scan);Flank pain;Assess urine ACCO}