A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

"I get such back pain with these urine infections. It hurts so bad."

"When I have one of these infections, I can't go to my grandkids' school activities like I normally do."

"I have to be close to a bathroom no mater where I am when I have this infection."

"Sometimes I get so nauseated and start throwing up and can't even keep water down."

Answer and Explanation

The Correct Answer is B

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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Correct Answer is A

Explanation

Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.

Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.

Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.

Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.

A. Diuretic use B. Hypocalcemia C. Family history D. BMI less than 25

Correct Answer is A

Explanation

Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk

factor for the development of calcium stones.

Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.

Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.

Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.

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A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is A

Explanation

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.)

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