A client is admitted with a high fever accompanied by chills. The client complains of costovertebral pain but denies dysuria, urgency, or frequency
The diagnosis is pyelonephritis related to pathogens present in the blood. How would the nurse classify this urinary tract infection?
1. Ascending
2. Hematogenous
3. Retrograde
4. "Against the flow"
Correct Answer: 2
Rationale 1: Ascending UTIs are those that travel from the urethra to the bladder or the kidney.
Rationale 2: A hematogenous infection is caused by pathogens traveling through the blood.
Rationale 3: Retrograde, or ascending, UTIs travel from the urethra to the bladder or the kidney.
Rationale 4: "Against the flow" refers to the difficulty that uropathogens have in reaching beyond the proximal portion of the urethra. It is a protection against UTIs.
Global Rationale: A hematogenous infection is caused by pathogens traveling through the blood. Retrograde, or ascending, UTIs travel from the urethra to the bladder or the kidney. "Against the flow" refers to the difficulty that uropathogens have in reaching beyond the proximal portion of the urethra. It is a protection against UTIs.
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