A patient presents to the emergency department with complaints of chills, severe flank pain, dysuria, and urinary frequency
Vital signs reveal: temperature 102.9° F, pulse 92, respirations 24, and blood pressure 119/58. The nurse would be correct to suspect that the patient shows signs and symptoms of
a. acute cystitis.
b. urinary tract infection.
c. pyelonephritis.
d. prostatitis.
ANS: C
The nurse should suspect pyelonephritis. Pyelonephritis is characterized by fever, chills, severe flank pain, dysuria, urinary urgency and frequency, as well as pyuria and bacteruria.
Clinical manifestations of acute cystitis include dysuria, urinary urgency and frequency, suprapubic discomfort, pyuria, and bacteruria.
Urinary tract infections (UTIs) are very general and are classified by their location. These symptoms are specific to pyelonephritis.
Prostatitis is manifested by high fever, chills, malaise, myalgia, localized pain, and various UTI symptoms, but not severe flank pain.
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