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A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

WBC count

Blood cultures x2

Foley catheter placement

Broad-spectrum antibiotic

0.9% sodium chloride infusion at 100 mL/hr

A clean-catch urinalysis and urine culture

Answer and Explanation

Correct Answer : A,B,D,E,F

Choice A reason: A WBC count can help determine the presence of infection.

Choice B reason: Blood cultures may be ordered if there is a concern for a systemic infection or sepsis.

Choice C reason: Foley catheter placement is not typically indicated for UTI and can increase the risk of infection.

Choice D reason: A broad-spectrum antibiotic may be prescribed to treat the suspected UTI until specific causative bacteria are identified.

Choice E reason: IV fluids may be administered to ensure hydration, especially if the client is unable to maintain adequate oral intake due to nausea or vomiting.

Choice F reason: A clean-catch urinalysis and urine culture are essential to identify the specific bacteria causing the UTI and to determine the appropriate antibiotic therapy.

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Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Frothy urine is not a typical symptom of pyelonephritis; it is more associated with proteinuria or nephrotic syndrome.

Choice B reason: Lower abdominal pain can be a symptom of pyelonephritis due to in?ammation and infection in the kidneys.

Choice C reason: Hypertension is not a direct symptom of pyelonephritis, although it can be associated with chronic kidney disease.

Choice D reason: A fish-type urine odor can be present in pyelonephritis due to the presence of bacteria.

Choice E reason: Mental confusion can occur, especially in severe cases or in elderly patients with pyelonephritis.

Choice F reason: A weak urine stream may be present if there is swelling or obstruction in the urinary tract due to infection.

A. Pain management B. Blood glucose control C. Fluid restriction D. Blood pressure control

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.

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A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["B","D","E","F"]

Explanation

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 nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

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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?

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A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?

A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?