A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?
Prevent further damage to his kidneys that could lead to renal failure.
Give pain relief with analgesics and antispasmodics.
Provide adequate nutrition with a stable body weight.
Provide adequate hydration with pulse and blood pressure within patient norms.
The Correct Answer is A
A. Prevent further damage to his kidneys that could lead to renal failure: The primary goal in managing pyelonephritis is to prevent complications such as renal damage or progression to renal failure.
B. Give pain relief with analgesics and antispasmodics: Pain relief is important but secondary to preventing renal damage.
C. Provide adequate nutrition with a stable body weight: Nutrition is important but not the primary goal in acute pyelonephritis.
D. Provide adequate hydration with pulse and blood pressure within patient norms: Hydration is crucial but supports the primary goal of preserving kidney function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.
B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.
C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.
D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.
Correct Answer is A
Explanation
A. Prevent further damage to his kidneys that could lead to renal failure: The primary goal in managing pyelonephritis is to prevent complications such as renal damage or progression to renal failure.
B. Give pain relief with analgesics and antispasmodics: Pain relief is important but secondary to preventing renal damage.
C. Provide adequate nutrition with a stable body weight: Nutrition is important but not the primary goal in acute pyelonephritis.
D. Provide adequate hydration with pulse and blood pressure within patient norms: Hydration is crucial but supports the primary goal of preserving kidney function.
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