A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?

a. Provide adequate nutrition with a stable body weight.
b. Provide adequate hydration with pulse and blood pressure within patient norms.
c. Give pain relief with analgesics and anti-spasmodics.
d. Prevent further damage to his kidneys that could lead to renal failure.


D
Pyelonephritis can cause scarring of the renal parenchyma and result in atrophy of the affected kidney, which means the kidney is failing.

Nursing

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A preschool-age age child with severe head trauma is intubated and on a respirator. The child has three flat electroencephalograms (EEGs) completed 24 hours apart

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The nurse has identified the priority patient problem of ineffective airway clearance with bronchospasms for a patient with pneumonia. The pt has no previous history of chronic respiratory disorders. The nurse obtains an order for which nursing intervention?

a. Increased liters of humidified oxygen via facemask b. Scheduled and prn aerosol nebulizer bronchodilator treatments c. Handheld bronchodilator inhaler as needed d. Corticosteroid via inhaler or IV to reduce inflammation

Nursing