How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?

Percuss between the iliac crest and ribs at the midaxillary line.

Push fingers upward into the two lowest intercostal spaces.

Palpate along both sides of the lumbar vertebral column.

Strike a flat hand covering the costovertebral angle (CVA).

Answer and Explanation

The Correct Answer is D

Choice A rationale
Percussion between the iliac crest and ribs at the midaxillary line is not the standard method for assessing flank tenderness associated with pyelonephritis. This technique may not elicit the characteristic pain of kidney inflammation.

Choice B rationale
Pushing fingers upward into the two lowest intercostal spaces is not a specific test for flank tenderness and may not accurately assess for pyelonephritis. This action is more related to assessing the integrity of the rib cage and intercostal muscles.

Choice C rationale
Palpating along both sides of the lumbar vertebral column is not the correct method for assessing flank tenderness due to pyelonephritis. This approach is more suited for assessing the musculoskeletal structure rather than the kidneys.

Choice D rationale
Striking a flat hand over the costovertebral angle is the correct method for assessing flank tenderness in cases of suspected pyelonephritis. This technique, known as costovertebral angle tenderness, elicits pain when the kidneys are inflamed, which is a common sign of pyelonephritis.

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Correct Answer is C

Explanation

Choice A rationale
A high calcium diet and hypercalcemia are not directly associated with pyelonephritis. While dietary habits and blood calcium levels can impact overall health, they do not typically contribute to the development of pyelonephritis.

Choice B rationale
Long-term use of ibuprofen can lead to kidney damage, which may increase the risk of pyelonephritis, especially if there is pre-existing kidney impairment. However, it is not as directly related to pyelonephritis as a history of UTIs.

Choice C rationale
A history of UTIs is relevant to pyelonephritis, as the infection can ascend from the lower urinary tract to the kidneys. Recurrent UTIs are a risk factor for pyelonephritis, making this the most likely report from the client.

Choice D rationale
Genetic diseases can have various impacts on health, but there is no common genetic disease that directly causes pyelonephritis. This choice is less likely to be relevant to the client's current condition.

A. History of high blood pressure B. Recent sore throat and fever C. Recent bladder infection D. History of kidney stones

Correct Answer is B

Explanation

Choice A rationale
A history of high blood pressure is a risk factor for chronic kidney disease but not specifically for acute glomerulonephritis. Acute glomerulonephritis is more commonly associated with infections.

Choice B rationale
A recent sore throat and fever, especially if caused by a streptococcal infection, can lead to post-streptococcal glomerulonephritis. This is a well-documented cause of acute glomerulonephritis, making it the correct answer.

Choice C rationale
While bladder infections can lead to urinary tract infections, they are not typically associated with acute glomerulonephritis. This condition is more commonly related to infections that can cause a systemic immune response.

Choice D rationale
A history of kidney stones is associated with chronic kidney issues and can lead to infections, but it is not a direct cause of acute glomerulonephritis. This condition is usually caused by an immune response to an infection elsewhere in the body.

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How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

What should the nurse ask the patient about to determine possible causes of acute glomerulonephritis?

Correct Answer is B

Explanation

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