The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle?

Sharp, severe pain.

Audible thud without pain.

Rigidity and firmness.

Rebound tenderness.

Answer and Explanation

The Correct Answer is A

A) Sharp, severe pain:
Percussion of the costovertebral angle (CVA) elicits sharp, severe pain in a client with pyelonephritis. This response indicates inflammation of the kidney and surrounding tissues, which is typical in pyelonephritis.

B) Audible thud without pain:
An audible thud without pain is a normal finding when percussing the CVA and would not be expected in a client with pyelonephritis.

C) Rigidity and firmness:
Rigidity and firmness may be related to muscle guarding or abdominal assessment findings, but they are not specific to CVA percussion and pyelonephritis.

D) Rebound tenderness:
Rebound tenderness is a sign of peritoneal irritation and is assessed by pressing on the abdomen and quickly releasing. It is not the typical finding associated with CVA percussion in pyelonephritis.

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Correct Answer is D

Explanation

A) Closed ended questions:
Closed-ended questions typically elicit short, specific responses and may not provide comprehensive information about the sputum's characteristics.

B) Leading questions:
Leading questions suggest a particular answer and may bias the client's response, preventing the nurse from obtaining an accurate description of the sputum.

C) Detailed questions about a symptom:
While detailed questions can be useful, they may be too specific initially and might not allow the client to freely describe their sputum in their own words.

D) Open ended questioning:
Open-ended questions encourage the client to provide more detailed and descriptive responses, allowing the nurse to gather comprehensive information about the sputum's color, consistency, amount, and other characteristics. This technique is best for obtaining a thorough and accurate description of symptoms.

A. Telephoning a family member. B. Opening a bar soap package. C. Sorting a collection of socks. D. Reading a short paragraph.

Correct Answer is B

Explanation

Answer: B. Opening a bar soap package.

Rationale:

A) Telephoning a family member:
Using a telephone is considered an instrumental activity of daily living (IADL), which involves more complex tasks required for independent living, such as managing communication. While important, it does not directly assess the physical and motor skills required for basic self-care.

B) Opening a bar soap package:
Opening a bar soap package involves fine motor skills and hand coordination, which are necessary for performing basic activities of daily living (ADLs). ADLs refer to essential self-care tasks like bathing, dressing, and grooming. Being able to open soap indicates the client has the dexterity needed for personal hygiene.

C) Sorting a collection of socks:
Sorting socks is more cognitive than motor-oriented, and it assesses organization skills, which are more aligned with IADLs rather than ADLs. It does not specifically evaluate the client’s ability to perform tasks related to basic self-care.

D) Reading a short paragraph:
Reading a paragraph evaluates literacy or cognitive function but is not directly related to performing ADLs. ADLs focus on physical activities necessary for daily living, such as dressing, eating, or bathing.

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The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

Rationale:

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