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A nurse who works in a skilled nursing facility is caring for an 85-year-old woman who has had a fever of 102F for 2 days. The nurse noted increased...

A nurse who works in a skilled nursing facility is caring for an 85-year-old woman who has had a fever of 102°F for 2 days. The nurse noted increased agitation, restlessness, and a decreased appetite. The patient has a Foley catheter in place. The physician ordered a urine analysis and the results are below. A diagnosis of a kidney infection was given.

         Color:                            dark amber in color

         Appearance:                  cloudy with sediment

         Specific gravity              1.025

         Glucose                         Negative

         Bilirubin                         Negative

         Ketones                         Moderate

         Leukocyte Esterase        +++

         Nitrites                           +++ 

         WBCs/HPF                   30

         RBCs                          10-12

 

•       Discuss how the bacteria gained entry into the body and what normal innate host defense mechanisms' were ineffective

•       Describe how the patient's age impacted her response to the infection



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