The nurse is caring for a client admitted with an infection of the ureters. The nurse realizes this infection could include which of the following structures of the kidney?
1. Capsule
2. Cortex
3. Medulla
4. Pelvis
4
Rationale 1: The renal capsule is the tissue that surrounds the kidney. It is not directly connected to the ureter as the renal pelvis is, so infection would not be as likely to travel from the ureter to the capsule.
Rationale 2: The renal cortex is the outer portion of each kidney. The renal cortex is not directly connected to the ureter as the renal pelvis is, so infection would not be as likely to travel from the ureter to the cortex.
Rationale 3: The renal medulla is the inner portion of the kidney and is not continuous with the ureter as the renal pelvis is, so infection would not be as likely to travel from the ureter to the medulla.
Rationale 4: The renal pelvis is the funnel-shaped superior end of the ureter. Since it is continuous with the ureter, an infection in the ureter could easily travel to the renal pelvis.
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