A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Bathing at least twice a day

Using douche to cleanse the vaginal area

Consuming adequate fluid intake

Completing all the antibiotics as prescribed

Wiping the perineal area from front to back after voiding

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.

Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.

Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.

Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.

Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.

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Correct Answer is C

Explanation

Choice A reason: During the oliguric phase of acute kidney injury, BUN and creatinine levels typically increase, not decrease, due to reduced kidney function.

Choice B reason: Renal function is not reestablished during the oliguric phase; this phase is characterized by decreased function.

Choice C reason: The oliguric phase is defined by significantly reduced urine output, often less than 400 mL per 24 hours.

Choice D reason: The GFR does not recover during the oliguric phase; it is usually decreased.

A. Providing surgical site or wound care B. Managing postoperative pain C. Assisting with early ambulation D. Monitoring urinary function

Correct Answer is D

Explanation

Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.

Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.

Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.

Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.

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A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

Correct Answer is D

Explanation

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?

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?

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?