The document discusses a client diagnosed with acute pyelonephritis. It provides multiple choice questions about managing the disease, symptoms of pyelonephritis, risk factors, tests to monitor renal status, determining effectiveness of antibiotics, and disorder most commonly leading to chronic pyelonephritis.
The document discusses a client diagnosed with acute pyelonephritis. It provides multiple choice questions about managing the disease, symptoms of pyelonephritis, risk factors, tests to monitor renal status, determining effectiveness of antibiotics, and disorder most commonly leading to chronic pyelonephritis.
Original Description:
pyelonephritis medical surgical nursing questions with rationalization
The document discusses a client diagnosed with acute pyelonephritis. It provides multiple choice questions about managing the disease, symptoms of pyelonephritis, risk factors, tests to monitor renal status, determining effectiveness of antibiotics, and disorder most commonly leading to chronic pyelonephritis.
The document discusses a client diagnosed with acute pyelonephritis. It provides multiple choice questions about managing the disease, symptoms of pyelonephritis, risk factors, tests to monitor renal status, determining effectiveness of antibiotics, and disorder most commonly leading to chronic pyelonephritis.
Which of the following instructions should the nurse provide to the client about managing the disease? 1. Urinate frequently because the bacteria that cause acute pyelonephritis reach the kidneys by means of an infection that progresses upward from lower in the urinary tract. 2. Taking frequent bubble baths will decrease the likelihood of further episodes of pyelonephritis. 3. You should take antibiotics for the rest of your life to prevent urinary tract infections. 4. By decreasing your fl uid intake, you will decrease the need for frequent urination and the irritating effect of urine in your ureter.
69.
Which of the following symptoms would
most likely indicate that the client has pyelonephritis? 1. Ascites. 2. Costovertebral angle (CVA) tenderness. 3. Polyuria. 4. Nausea and vomiting.
70.
Which of the following factors would put the
client at increased risk for pyelonephritis? 1. History of hypertension. 2. Intake of large quantities of cranberry juice. 3. Fluid intake of 2,000 mL/day. 4. History of diabetes mellitus.
71.
To assess the clients rental stauts, the nurse
should monitor which of the following laboratory tests? Select all that apply. 1. Serum sodium 2. Potassium levels. 3. Arterial blood gases 4. Hemoglobin. 5. Serum blood urea nitrogen 6. Creatinine levels. 7. Urinalysis.
72.
The client with pyelonephritis asks the
nurse, How will I know whether the antibiotics are effectively treating my infection? The nurses most appropriate response would be which of the following? 1. After you take the antibiotics for 2 weeks, youll not have any infection. 2. Your health care provider can tell by the color and odor of your urine. 3. Your health care provider will take a urine culture. 4. When your symptoms disappear, youll know that your infection is gone.
73.
The client with acute pyelonephritis wants to
know the possibility of developing chronic pyelonephritis.
The nurses response is based on knowledge that which of the following disorders most commonly leads to chronic pyelonephritis? 1. Acute pyelonephritis. 2. Recurrent urinary tract infections. 3. Acute renal failure. 4. Glomerulonephritis.