A nurse in an acute medical unit of a hospital has admitted a 62-year-old female from the emergency department who has been diagnosed with acute pyelonephritis
Which of the following statements most accurately conveys an aspect of the knowledge base that the nurse needs to perform adequate care and teaching?
A)
Most cases of acute pyelonephritis are attributable to poorly controlled hypertension.
B)
Flank pain, dysuria, and nausea and vomiting are likely assessment findings.
C)
The infection in the kidney is most likely a manifestation of a systemic infection.
D)
Imaging tests are likely to reveal scarring and deformation of the renal calices and pelvis.
Ans:
B
Feedback:
Manifestations of acute pyelonephritis include pain, frequency, urgency, dysuria, nausea, and vomiting. Chronic rather than acute pyelonephritis is often caused by hypertension, while most cases are caused by ascending bacteria, not systemic infections. Scarring is more commonly a result of chronic pyelonephritis.
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