A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching?
"Pyelonephritis increases a person's risk for kidney damage."
"Pyelonephritis is an infection of the lower urinary tract."
"Pyelonephritis often causes no symptoms in affected clients."
"Pyelonephritis is most often caused by Staphylococcus saprophyticus."
The Correct Answer is A
A. "Pyelonephritis increases a person's risk for kidney damage." - Pyelonephritis is a bacterial infection of the renal parenchyma and renal pelvis, typically caused by the ascent of bacteria from the lower urinary tract into the kidneys. If left untreated, it can lead to kidney damage, including scarring of the renal tissue and impaired kidney function.
B. "Pyelonephritis is an infection of the lower urinary tract." - This statement is incorrect. Pyelonephritis specifically involves the upper urinary tract, affecting the kidneys. In contrast, infections of the lower urinary tract (such as cystitis) affect the bladder and urethra.
C. "Pyelonephritis often causes no symptoms in affected clients." - This statement is incorrect. Pyelonephritis typically presents with symptoms such as fever, chills, flank pain, painful urination (dysuria), and frequent urination. Clients with pyelonephritis usually experience noticeable symptoms.
D. "Pyelonephritis is most often caused by Staphylococcus saprophyticus." - This statement is incorrect. While Staphylococcus saprophyticus is a common cause of urinary tract infections, pyelonephritis is more commonly caused by gram-negative bacteria, such as Escherichia coli, which often ascend from the lower urinary tract into the kidneys.
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Related Questions
Correct Answer is A
Explanation
A. Calcium Oxalate
The most common substance found in the analysis of renal stones is calcium oxalate. Calcium oxalate stones are the most prevalent type of kidney stones, accounting for the majority of cases. These stones can form when there is an excess of calcium or oxalate in the urine, and they can vary in size and shape. Other types of kidney stones include uric acid stones, struvite stones (magnesium-ammonium phosphate), and cystine stones, but calcium oxalate stones are the most common.
Correct Answer is ["A","C","E"]
Explanation
A. Client with restricted activity - Patients with limited mobility are at a higher risk for pressure ulcers because they are unable to change positions easily, leading to prolonged pressure on certain body parts.
B. Client who can ambulate - Patients who can ambulate have the ability to shift their body weight and change positions, reducing the risk of prolonged pressure on specific areas. Ambulation can improve circulation and reduce the risk of pressure ulcers
C. Client with a cast - Clients with casts are often limited in their ability to move or change positions, making them susceptible to pressure ulcers in areas where the cast creates pressure points on the skin.
D. Client with good nutrition - Proper nutrition is essential for overall health, including skin health. Adequate nutrition promotes wound healing and tissue repair. Good nutrition is not a risk factor for pressure ulcers; in fact, it can contribute to preventing them by maintaining healthy skin.
E. Client with urinary and fecal incontinence - Incontinence can lead to moisture on the skin, making it more susceptible to breakdown. Prolonged exposure to moisture, especially in the presence of urine or feces, can increase the risk of pressure ulcer development.
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