A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

Hypertension

Frequency

Flank pain

Neck pain

Costovertebral tenderness

Urgency

Answer and Explanation

Correct Answer : B,C,E,F

Choice A rationale
Hypertension is not a typical manifestation of pyelonephritis. While it can be present due to other underlying conditions, it is not directly related to pyelonephritis.

Choice B rationale
Frequency, or the need to urinate more often, is a common symptom of pyelonephritis as the infection can irritate the bladder and urinary tract.

Choice C rationale
Flank pain is a classic symptom of pyelonephritis. It is usually located on the side of the affected kidney and can be quite severe.

Choice D rationale
Neck pain is not associated with pyelonephritis. It is more likely related to musculoskeletal issues or other non-urinary tract conditions.

Choice E rationale
Costovertebral tenderness, which is tenderness felt on tapping the back where the ribs meet the spine, is indicative of kidney infection and is expected in pyelonephritis.

Choice F rationale
Urgency, or a sudden, strong need to urinate, is another symptom of pyelonephritis due to inflammation and irritation in the urinary system.

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Correct Answer is ["B","C"]

Explanation

Choice A rationale

While infections can occur in IBD, the primary goal is not to combat infection but to manage the underlying inflammation¹.

Choice B rationale

Controlling inflammation is a key treatment goal in IBD to alleviate symptoms and induce and maintain remission².

Choice C rationale

Correcting and preventing malnutrition is essential in IBD management due to potential nutrient absorption issues¹.

Choice D rationale

Increasing stress is not a treatment goal for IBD. In fact, reducing stress can help manage IBD symptoms².

Choice E rationale

While IBD currently has no cure, the goals are to manage symptoms, induce remission, and improve quality of life².

A. Regular diet, no added salt B. Low-protein, low-potassium diet C. Low-carbohydrate, low-protein diet D. Low-sodium, fluid-restricted diet

Correct Answer is D

Explanation

Choice A rationale
A regular diet with no added salt may not be sufficient to address the fluid retention associated with acute glomerulonephritis and peripheral edema.

Choice B rationale
While a low-protein, low-potassium diet may be considered for certain kidney conditions, it does not specifically address the fluid and sodium management needed in acute glomerulonephritis with edema.

Choice C rationale
A low-carbohydrate, low-protein diet is not indicated in this scenario as it does not provide the necessary restrictions on sodium and fluid that are required for a child with edema and oliguria due to acute glomerulonephritis.

Choice D rationale
A low-sodium, fluid-restricted diet is most appropriate for a child with acute glomerulonephritis and peripheral edema. This diet helps manage the edema and prevent further fluid overload, which is crucial in the care of this condition.

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A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, "Can this be cured?" Which of the following treatment goals are appropriate for a patient with IBD? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Correct Answer is D

Explanation

How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?

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