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 ["7.5"]
Explanation
Order: 750 mg PO
Available: 0.5 g/5 mL
Convert 0.5 g to mg:
0.5g=500 mg
To calculate the volume:
Volumetoadminister= (Ordered dose /Available concentration)× Volumeperavailabledose
= (750mg /500 mg) × 5ml
= 7.5 ml
Correct Answer is ["B","D","E","F"]
Explanation
A. Topical estrogen: Estrogen therapy is used for recurrent UTIs in postmenopausal women due to atrophic changes but is not directly for UTI treatment.
B. Urinary tract antiseptics: These are used to prevent and treat UTIs by exerting a local antibacterial effect.
C. Diuretics: Diuretics promote urine production but do not treat infections.
D. Antispasmodic agents: These relieve bladder spasms associated with UTIs.
E. Antibiotics: Antibiotics are the primary treatment for UTIs.
F. Analgesics: Analgesics, such as phenazopyridine, are used to manage pain caused by UTIs.
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