A 25-year-old man comes to the college clinic with fever of 101° F, nausea, and flank pain that radiates into the thigh and genitals. The nurse anticipates that the patient will undergo workup for which infection?
a. Urethritis
b. Pyelonephritis
c. Glomerulonephritis
d. Cystitis
B
Acute pyelonephritis is an infection of the kidneys. It is thought to occur when bacteria (such as Escherichia coli) from a bladder infection travel up the ureters to infect the kidneys. A frequent cause of pyelonephritis is an obstruction, causing stasis of urine and stones that cause irritation of the tissue. Both situations provide an environment in which bacteria can grow. When bacteria enter the renal pelvis, inflammation and infection occur. Pyelonephritis causes nausea and vo-miting, flank pain, temperature elevation with chills, headache, and malaise. Urethritis and cysti-tis often cause dysuria. Glomerulonephritis commonly occurs about 2 to 3 weeks after a group A beta-hemolytic streptococcal infection, such as "strep throat" or impetigo. The patient with acute glomerulonephritis usually becomes suddenly ill with fever, chills, flank pain, widespread edema, puffiness about the eyes, visual disturbances, and marked hypertension.
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Termination of the therapeutic nurse-client relationship with a client has been handled successfully
when the nurse a. gives the client his personal telephone number and permission to call after discharge. b. avoids upsetting the client by focusing on other clients beginning 1 week before the client's discharge. c. discusses with the client the changes that have happened during their time together and evaluates outcome attainment. d. offers to meet the client for coffee and conversation three times a week for 2 weeks after discharge.
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The CINAHL electronic database covers all published nursing studies back to the 1950s
A) True B) False
The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?
1. "No, because this medication has serious adverse effects." 2. "No, your doctor said the best treatment for your illness is to alternate medications." 3. "No, your body would get used to it and it would lose its effectiveness." 4. "No, because your illness is in remission and you don't need medication now."