A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)
Hypertension
Frequency
Flank pain
Neck pain
Costovertebral tenderness
Urgency
Correct Answer : B,C,E,F
Choice A rationale
Hypertension is not a typical manifestation of pyelonephritis. While it can be present due to other underlying conditions, it is not directly related to pyelonephritis.
Choice B rationale
Frequency, or the need to urinate more often, is a common symptom of pyelonephritis as the infection can irritate the bladder and urinary tract.
Choice C rationale
Flank pain is a classic symptom of pyelonephritis. It is usually located on the side of the affected kidney and can be quite severe.
Choice D rationale
Neck pain is not associated with pyelonephritis. It is more likely related to musculoskeletal issues or other non-urinary tract conditions.
Choice E rationale
Costovertebral tenderness, which is tenderness felt on tapping the back where the ribs meet the spine, is indicative of kidney infection and is expected in pyelonephritis.
Choice F rationale
Urgency, or a sudden, strong need to urinate, is another symptom of pyelonephritis due to inflammation and irritation in the urinary system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The red blood cell (RBC) count is not typically affected by hemodialysis. Hemodialysis is a process that primarily targets the removal of waste products and excess fluid from the blood, not red blood cells.
Choice B rationale
Potassium levels are often elevated in clients with renal failure due to the kidneys' inability to excrete potassium. Hemodialysis helps to remove excess potassium from the bloodstream, thereby decreasing its levels.
Choice C rationale
Calcium levels can be affected by hemodialysis; however, they are more often managed with medication and diet rather than being directly targeted by the dialysis process itself.
Choice D rationale
Protein levels should not decrease significantly as a result of hemodialysis. The dialysis membrane is designed to allow small waste products to pass through while retaining larger molecules like proteins.
Correct Answer is ["A","C","D","F"]
Explanation
Choice A rationale
Chocolate is known to have moderate levels of potassium and should be limited in a diet for chronic kidney disease to prevent hyperkalemia¹.
Choice B rationale
Green beans are considered a lower potassium vegetable and can be included in a kidney-friendly diet in appropriate portions².
Choice C rationale
Tomatoes are high in potassium and should be avoided by individuals with chronic kidney disease to maintain safe potassium levels¹.
Choice D rationale
Bananas are very high in potassium and are one of the most well-known foods that individuals with chronic kidney disease are advised to avoid¹.
Choice E rationale
Asparagus is lower in potassium compared to other vegetables and can be consumed in moderation by people with chronic kidney disease².
Choice F rationale
Salt substitutes often contain potassium chloride and should be avoided as they can significantly increase potassium intake, which is harmful for those with chronic kidney disease¹.
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