The Client with Pyelonephritis

68.

A client is diagnosed with acute 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.