Exam Guide
UTI Findings the PN Should Report to the Provider
Foundations of Practice & Clinical Judgment · Question from the ATI PN Fundamentals 2023 Proctored Exam study set
Correct answers:
Why this is the answer
Fever and tachycardia can indicate the infection is progressing toward pyelonephritis or urosepsis and warrant prompt provider notification. Urinary frequency/burning, a positive leukocyte esterase, and positive nitrites are expected findings consistent with the known UTI diagnosis and do not by themselves signal a new or worsening problem.
The bigger concept
Reporting questions separate expected findings from findings that signal a new or worsening problem. Dysuria, frequency, positive leukocyte esterase, and positive nitrites are what a UTI looks like — they confirm the diagnosis already on the chart. A fever of 39.3°C and a heart rate of 113 are systemic signs that the infection may be ascending to the kidneys or progressing toward urosepsis. The PN/VN reports those promptly to the RN and provider rather than charting them and waiting.
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