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A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

The client states that they consume a high calcium diet and have had high calcium in their blood.

The client reports that they had two urinary tract infections (UTI) in the past 10 months.

The client reports that they took a lot of ibuprofen for arthritis for many years.

The client states that they remember their mother saying their grandmother had this same genetic disease.

Answer and Explanation

The Correct Answer is B

Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.

Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.

Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.

Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.

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Correct Answer is B

Explanation

Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.

Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.

Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.

Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.

A. Eat a diet high in calcium oxalate-rich foods. B. Continue to take your prescribed gout medication. C. Drink plenty of fluids during the day. D. Eat a diet high in purine-rich foods.

Correct Answer is C

Explanation

Choice A reason: A diet high in calcium oxalate-rich foods should be avoided as it can contribute to the formation of calcium oxalate stones.

Choice B reason: Continuing prescribed gout medication is important, but it does not directly prevent the formation of renal calculi unless the medication is specifically for reducing uric acid levels.

Choice C reason: Drinking plenty of fluids, especially water, is one of the most effective ways to prevent the recurrence of renal calculi by diluting the urine and reducing the concentration of stone-forming minerals.

Choice D reason: A diet high in purine-rich foods can increase the risk of uric acid stones and should be avoided, especially in patients with gout and a history of renal calculi.

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A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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