The nurse is assessing a patient who is being treated for acute pyelonephritis. When finding best indicates to the nurse that the patient is in the early stages of pyelonephritis?
a. Smoky-colored urine
b. Temperature of 99.4° F
c. Weakness
d. Flank pain
D
In the acute state of pyelonephritis, symptoms include pain in the flank (lateral abdomen) that radiates to the thigh and genitalia, fever (often 103° F+), chills, headache, malaise, and nausea and vomiting. The urine is cloudy with a foul odor as it is loaded with bacteria, blood, and pus. The chronic phase is often subtle, with low-grade fever, weakness, weight loss, and gradual scar-ring of the kidney tissues.
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A clinic run by volunteer doctors and nurses belongs in which of the following categories?
A. Voluntary for profit B. Publicly supported C. Not for profit D. Governmental agency
An older client tells the nurse that in order to have a daily bowel movement, the client uses laxatives most days of the week. What should the nurse tell this client?
1. Normal patterns of elimination are different for everyone. 2. Increase fiber intake to 20–35 grams a day. 3. Engage in enjoyable exercise. 4. Ignore the urge to have a bowel movement. 5. Drink six to eight glasses of fluid daily.
A client diagnosed with major depression was prescribed imipramine (Tofranil) and has been taking this medication for 1 week. The client took his last dose of imipramine (Tofranil) at 9:00 PM
The client is scheduled to have blood drawn to monitor the medication level the next morning. The nurse should instruct the client to have his blood drawn as close as possible to which time? A) 6:00 AM B) 7:00 AM C) 8:00 AM D) 9:00 AM
When prescribing an antidepressant for the treatment of an adolescent with obsessive-compulsive disorder (OCD), a higher dose is usually ordered by the health care provider
As part of the education of the client/family, the health care provider should warn about safety due to an increased risk for which of the following? A) Nightmares B) Sleepwalking C) Amnesia D) Suicidality.