CHAPTER 9 Genitourinary System^387
- Chills
- Frequency, urgency, dysuria due to urinary tract infection
- Nausea, vomiting, and diarrhea due to infection
- Increased heart rate due to fever
- Costovertebral angle (CVA) tenderness
INTERPRETING TEST RESULTS
- Urinalysis shows leukocytes, bacteria, nitrites, and red blood cells; may see
white blood cell casts. - Urine culture identifies organism.
- Sensitivity shows which antibiotics the organism is most responsive to.
- CBC shows leukocytosis.
TREATMENT
- Administer antibiotics to treat infection—intravenous or oral depending on
severity of infection and comorbidities of patient:- nitrofurantoin
- ciprofloxacin
- levofloxacin
- ofloxacin
- trimethoprim-sulfamethoxazole
- ampicillin
- amoxicillin
- Administer antipyretics for fever.
- Administer fluids for dehydration due to vomiting and diarrhea.
- Administer phenazopyridine for relief of dysuria symptoms.
- Repeat urine culture after completion of antibiotic course.
NURSING DIAGNOSIS
- Impaired urinary elimination
- Nausea
- Hyperthermia