A 30-year-old male patient reports having two to four urinary ...

[corkyiscool3328]

A 30-year-old male patient reports having two to four urinary tract infections a year. What will the nurse expect to teach this patient?
 
  a. Make sure you void after intercourse and drink extra fluids to stay well hydrated.
  b. We will treat each infection as a separate infection and treat with short-course therapy.
  c. You will need to take a low dose of medication for 6 months to prevent infections.
  d. You will need to take antibiotics for 4 to 6 weeks each time you have an infection.

Question 2

A patient has a positive urine culture 1 week after completion of a 3-day course of antibiotics. The nurse anticipates that the prescriber will:
 
  a. begin a 2-week course of antibiotics.
  b. evaluate for a structural abnormality of the urinary tract.
  c. initiate long-term prophylaxis with low-dose antibiotics.
  d. treat the patient with intravenous antibiotics.

[AaaA]

Answer to Question 1

ANS: C
This patient has reinfection of his urinary tract at a rate of more than three per year, which is an indication for long-term prophylaxis. Voiding after intercourse is a good teaching point for sexually active women to prevent urinary infections, but it is not a sufficient preventive measure for recurrent infections in men. Short-course therapy may be used for each occurrence of infection if the reinfection rate is less than three per year. Long-term treatment for individual infections is recommended if relapse occurs or if infections do not clear with shorter-term therapy.

Answer to Question 2

ANS: A
Patients who develop a subsequent urinary tract infection after treatment are treated in a stepwise fashion, beginning with a longer course of antibiotics. The next steps would be to begin a 4- to 6-week course of therapy, followed by a 6-month course of therapy if that is unsuccessful. If urinary tract infections are thought to be caused by other complicating factors, an evaluation for structural abnormalities may be warranted. Unless the infections are severe or are complicated, intravenous antibiotics are not indicated.

[corkyiscool3328]

TYSM

[kishoreddi]

Excellent