American Association of Critical-Care Nurses (AACN) Certification Practice Test

What is the treatment for uncomplicated UTI with systemic symptoms?

1. Outpatient antibiotics

2. IV antibiotics

3. No treatment required

4. Inpatient monitoring only

The correct answer is: Outpatient antibiotics

Outpatient antibiotics are considered the appropriate treatment for uncomplicated urinary tract infections (UTIs) when systemic symptoms, such as mild fever or malaise, are present but the patient does not exhibit severe or complicated features that warrant more aggressive treatment. Uncomplicated UTIs are generally characterized by their occurrence in otherwise healthy individuals without any underlying complications like anatomical abnormalities of the urinary tract or significant comorbidities. When a patient experiences systemic symptoms but remains stable, outpatient treatment is often sufficient. Outpatient antibiotics allow for appropriate management while enabling the patient to maintain their routine and reducing the strain on healthcare facilities. The choice of antibiotic should ideally be based on local resistance patterns and may include agents such as nitrofurantoin, trimethoprim-sulfamethoxazole, or fosfomycin, among others. IV antibiotics and inpatient monitoring are typically reserved for more complicated cases where patients present with severe symptoms, signs indicating possible systemic infection, renal involvement, or when they cannot tolerate oral medications. No treatment is not an appropriate option for someone with systemic symptoms because the infection may worsen without intervention. This understanding is crucial for effective management of UTIs, ensuring that patients receive appropriate care based on the severity and nature of their symptoms.