The nurse suspects that a urinary tract infection has progressed ...

[luvbio]

The nurse suspects that a urinary tract infection has progressed to cystitis when the patient complains of which symptom?
 
  a. Dysuria
  b. Flank pain
  c. Frequency
  d. Fever and chills

Question 2

A patient asks about treatment for urge urinary incontinence. The nurse's best response is to advise the patient to
 
  a. Perform pelvic floor exercises.
  b. Drink cranberry juice.
  c. Avoid voiding frequently.
  d. Wear an adult diaper.

[akemokai]

Answer to Question 1

C
Cystitis is inflammation of the bladder; associated symptoms include hematuria and urgency/frequency. Dysuria is a common symptom of a lower urinary tract infection. Flank pain, fever, and chills are all signs of pyelonephritis.

Answer to Question 2

A
Poor muscle tone leads to an inability to control urine flow. The nurse should recommend pelvic muscle strengthening exercises such as Kegel exercises; this solution best addresses the patient's problem. Drinking cranberry juice is a preventative measure for urinary tract infection. The nurse should not encourage the patient to reduce voiding; residual urine in the bladder increases the risk of infection. Wearing an adult diaper could be considered if attempts to correct the root of the problem fail.