Discharge teaching for a client who has been treated for pyelonephritis would include which statement?

a. "Report any sudden weight loss of 2 pounds per week."
b. "Get plenty of rest, even when you are feeling better."
c. "Avoid crowds where you may become reinfected."
d. "Practice perineal hygiene by cleansing from back to front."


B
Pyelonephritis (pyelitis or nephropyelitis) is a bacterial infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys. The kidney becomes edematous, and the renal blood vessels become congested. The urine is usually cloudy, containing mucus, blood, and pus. The disease process causes fatigue, and bedrest should be followed during the acute phase. Sulfonamides, antimicrobials, and antipyretics are usually prescribed. Renal colic (severe pain in the kidney radiating to the groin) may impair urination.

Nursing

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