A nurse is gathering data on a client who was admitted with pyelonephritis. Which of the following manifestations should the nurse expect the client to be exhibiting?
(Select All that Apply.)
Frothy urine
Hypertension
Fish-type urine odor
Mental confusion
Lower abdominal pain
Weak urine stream
Correct Answer : B,C,D,E
A. Frothy urine: Frothy urine is typically associated with proteinuria, seen in nephrotic syndrome, not pyelonephritis.
B. Hypertension: Hypertension can occur due to kidney inflammation and impaired function in pyelonephritis.
C. Fish-type urine odor: A foul or fishy-smelling urine odor is often associated with a urinary tract infection, including pyelonephritis.
D. Mental confusion: Mental confusion can occur in elderly patients with pyelonephritis due to systemic infection or sepsis.
E. Lower abdominal pain: Lower abdominal pain can occur with pyelonephritis due to infection in the urinary tract.
F. Weak urine stream: A weak urine stream is more characteristic of lower urinary tract issues, such as benign prostatic hyperplasia (BPH), rather than pyelonephritis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Spider angioma: Spider angiomas are a common manifestation of advanced cirrhosis due to increased estrogen levels resulting from impaired liver function.
B. Increased body hair: Clients with cirrhosis often have decreased body hair due to hormonal imbalances and liver dysfunction, not increased body hair.
C. Weak pulse: While a weak pulse could indicate circulatory issues, it is not a common manifestation specific to cirrhosis. The nurse would expect signs like jaundice, ascites, or edema.
D. Dark-colored stools: Dark-colored stools are more commonly seen in cases of gastrointestinal bleeding or iron supplements. In cirrhosis, the stools are often pale or clay-colored due to bile flow obstruction.
Correct Answer is A
Explanation
A. Administer a proton pump inhibitor (PPI) as prescribed to decrease gastric acid production: Proton pump inhibitors (PPIs) are a cornerstone of therapy for peptic ulcer disease as they effectively reduce gastric acid production, which helps the ulcer heal and relieves symptoms.
B. Provide a diet high in fiber and low in fat to promote gastrointestinal health: A high-fiber diet is not specifically indicated for PUD. While diet modifications may help, managing gastric acid production and avoiding irritants is more critical.
C. Encourage the patient to eat small, frequent meals to prevent the secretion of gastric acid: Although small, frequent meals may help some patients, they are not as effective in managing PUD compared to PPIs. Additionally, frequent eating can stimulate gastric acid production in some cases.
D. Instruct the patient to increase the intake of dairy products to help neutralize stomach acid:
Dairy products can initially neutralize stomach acid, but they can also stimulate further acid production, which may worsen symptoms in the long term. This is not recommended for managing PUD.
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