A client is being seen in the emergency department with a suspected urinary tract infection. The nurse believes the client has pyelonephritis based on which assessment findings?
Standard Text: Select all that apply.
1. Vomiting
2. Fever
3. Flank tenderness
4. Photophobia
5. Painful urination
Correct Answer: 1,2,3,5
Rationale 1: Vomiting is a symptom that often accompanies pyelonephritis.
Rationale 2: Fever is a symptom that often accompanies pyelonephritis.
Rationale 3: Flank tenderness is often a symptom of pyelonephritis.
Rationale 4: Photophobia is not a symptom of pyelonephritis. This symptom often accompanies migraines.
Rationale 5: Painful urination is often a symptom of pyelonephritis.
Global Rationale: Assessment findings of pyelonephritis often include vomiting, fever, flank tenderness, and painful urination. Photophobia is not an expected finding.
You might also like to view...
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
a. Flexion. b. Abduction. c. Adduction. d. Extension.
A fundamental change in attitude toward persons who have a mental illness and their families is reflected by
1. HMOs and PPOs. 2. the insurance companies. 3. calling them clients instead of patients. 4. including clients and their families as members of the health care team.
The student nurse is ambulating with a blind patient. Which actions indicate the need for further instruction by the nursing instructor? (Select all that apply.)
a. The student nurse holds the patient's do-minant arm. b. The student nurse allows the patient to put both hands on his shoulders. c. The student nurse allows the patient to hold the nurse's arm. d. The student nurse holds the patient's hand. e. The student nurse walks just behind the patient.
A nurse is conducting a review of systems during a comprehensive assessment of a psychiatric–mental health client. Which of the following questions would most likely be included in this assessment?
A) Do you take any medications? B) How often do you drink alcohol? C) Do you have any numbness or tingling anywhere? D) How would you describe your life growing up?