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 D

Explanation

Choice A reason: While pain management is important for comfort, it does not directly slow the progression of PKD to ESRD.

Choice B reason: Blood glucose control is important for overall health but is not the most critical factor in slowing the progression of PKD to ESRD.

Choice C reason: Fluid restriction is not typically necessary for PKD unless there is an associated condition that requires it.

Choice D reason: Blood pressure control is crucial in PKD as hypertension can accelerate the progression to ESRD.

A. Water moves from areas where the concentration of sodium is higher to areas where the concentration is lower. B. Water moves from areas where the concentration of sodium is lower to areas where the concentration is higher. C. Sodium moves from areas where the concentration of solute is lower to areas where the concentration is higher. D. Water and sodium particles move together to areas where sodium particles are higher.

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because, during dehydration, water does not move towards areas of lower sodium concentration.

Choice B reason: This is correct because, during dehydration, the body retains sodium, and water follows by osmosis to areas where sodium concentration is higher, which can result in elevated sodium levels.

Choice C reason: Sodium does not typically move across membranes in response to solute concentration gradients; water does.

Choice D reason: Water moves independently of sodium particles, not necessarily together, and it moves towards areas of higher solute concentration.

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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 caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

Correct Answer is D

Explanation

A charge nurse is teaching a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

Correct Answer is B

Explanation

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A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

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 reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

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