A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Epigastric discomfort
Flank pain
Temperature 37.7° C (99.8° F)
Abdominal cramping
The Correct Answer is B
Rationale:
A. Epigastric discomfort is not typically associated with pyelonephritis. It may be a symptom of other conditions such as gastrointestinal issues or preeclampsia.
B. Flank pain is a common manifestation of pyelonephritis, which is an infection of the kidneys.
Clients with pyelonephritis often experience pain in the flank area, which is located between the lower ribs and the pelvis, on one or both sides of the body.
C. A temperature of 37.7°C (99.8°F) may indicate a low-grade fever, which can be present in pyelonephritis due to the body's immune response to infection.
D. Abdominal cramping may occur with various conditions during pregnancy but is not specific to pyelonephritis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Instructing the client about an autopsy is not the immediate priority and may not be appropriate at this sensitive time.
B. Informing the client about the law regarding naming the fetus is not a priority and may add unnecessary stress to the situation.
C. Providing photos of the fetus is the most appropriate action since it minimzes the trauma to the mother while providing closures.
D. Limiting the amount of time the fetus is in the client's room is not appropriate as when the mother needs more time with the fetus, she hsould be allowed to provide for closure
Correct Answer is A
Explanation
A.
Rationale:
A. Allowing the baby to feed at least every 3 hours helps ensure an adequate milk supply and supports newborn growth and development.
B. Timing for breastfeeding sessions can vary and should be guided by the baby's cues rather than a set time limit.
C. Breast milk provides all the hydration a newborn needs; offering water between feedings is unnecessary and may interfere with breastfeeding.
D. Newborns typically produce more than two to four wet diapers every 24 hours; this number may vary but is generally higher.
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