Author Question: A 77-year-old female patient with heart failure complains of frequency and urgency of urination ... (Read 77 times)

dmcintosh

  • Hero Member
  • *****
  • Posts: 517
A 77-year-old female patient with heart failure complains of frequency and urgency of urination during the day and nocturia of 2 to 3 times a night. Which of the following medications can cause these symptoms?
 
  A. Beta adrenergic blocker
  B. Diuretic
  C. ACE inhibitor
  D. Digitalis

Question 2

Your 24-year-old female patient complains of dysuria as well as frequency and urgency of urination that develops the day after she uses her diaphragm. Urine culture reveals a bacterial count of 100 CFU/mL. These signs and symptoms indicate:
 
  A. Upper urinary tract infection
  B. Lower urinary tract infection
  C. Normal bacteriuria
  D. Urethritis



harveenkau8139

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

ANS: B
A patient may complain of frequency that she or he associates with a particular medication. Alternatively, this association may not be clear until a complete list of the patient's medications is available. Signs and symptoms are primarily frequency and urgency, both of which may be complicated by coexisting GU conditions, such as BPH, some type of incontinence, or mobility issues. A review of a patient's medications and administration schedule should be sufficient to determine that a diuretic is a contributing cause. Consider urinalysis to rule out a UTI.

Answer to Question 2

ANS: B
In women whose symptoms suggest uncomplicated UTI, a culture of greater than 102 CFU/mL of a specific bacterium is indicative of cystitis. However, this CFU number is controversial. Infectious disease specialists recommend use of 103 CFU / mL as diagnostic of UTI. In the past, a bacterial count of 105 CFU/mL was regarded as significant for UTI. UTI diagnosis relies on the patient's subjective report of symptoms of UTI, not only the number of bacteria. Patients with asymptomatic bacteriuria can have bacterial counts as high as 10 5 CFU/mL. Asymptomatic bacteriuria is not treated. Risk factors for the development of a UTI include increasing age, recent sexual intercourse, a history of UTI, use of a diaphragm or cervical cap, and anatomic abnormalities.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

For a complete list of videos, visit our video library