The nurse is caring for a patient who is being treated for acute pyelonephritis. When performing the assessment, the nurse correctly recognizes that which symptom is consistent with the early stages of the disease?
a. Smoky-colored urine
b. Low-grade fever
c. Weakness
d. Nausea
D
In the acute state of pyelonephritis, the symptoms include fever, chills, headache, malaise, nausea and vomiting, and pain in the flank (lateral abdomen) radiating to the thigh and genitalia. The chronic phase is often subtle, with gradual scarring of the kidney tissues. The chronic phase re-sults in loss of weight, low-grade fever, and weakness. Eventually the urine becomes loaded with bacteria and pus. Smoky- or tea-colored urine is seen with glomerulonephritis.
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