[Applause] [Music] a UTI is a urinary tract infection typically in the urethra and the bladder now cystitis is just a bladder infection and if that infection gets bad enough it can migrate and sort of climb the ERS to infect the kidneys known as pylo netis AKA a kidney infection which is far more serious now the signs and symptoms are simple just like any infection we get a fever as well as disuria painful or difficulty urinating key term here burning during urination as well as urinary frequency a constant feeling or having to void now for Diagnostics we use a UA a urinary analysis so we'll see cloudy and smelly urine filled with wbc's those white blood cells that indicate a general infection now key term here is nitrites that indicates a kidney infection and last a urine culture and sensitivity test can be ordered so over 10,000 organisms per ml indicates a UTI anything less for a culture is typically normal so big enlex tip here cultures are always taken first and then we give antibiotics after so remember on the enlex we ass ESS first and then do interventions second so hessie mentions a question about cloudy urine specimen is indication of bacteria in the urine and a patient reporting disera and frequency which test does the nurse anticipate to be ordered the answer was urine culture and a Kaplan scenario states that a client with signs and symptoms of a utti collected a Midstream urine specimen 2 hours prior and left it sitting in the bathroom what is the nurse's priority action so the answer here is to discard the specimen and obtain a new specimen now as far as that kidney infection we see the same signs and symptoms as a UTI but far worse the key difference here is the pain location Costo vertebral tenderness is described as key terms write this down dle flank pain that extends toward the abicus basically the belly button not the groin area we see a do whole pain that's not excruciatingly sharp this is typical of kidney stones that tear up the ERS as it descends toward the bladder the key terms again are dull flank pain on the patient's side so hessie mentions this in a question stating a patient with the temperature of 102.5 grabbing on her left side and complaining of dull pain the urine specimen appears concentrated with a cloudy appearance these findings are associated with Pyon nefritis now the first action is to obtain blood and urine cultures all right guys that wraps it up for this segment don't forget to take your quiz and download the study guides thanks for watching for our full video and new quiz Bank click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time