A client with a history of chronic pyelonephritis has been admitted several times with recurrent bacterial infection of the urinary tract. The nurse should anticipate educating this client with regard to which common treatment regimen?
A) Increase intake of cranberry juice to 2 L/day.
B) Continue taking antibiotics for full 10 to 14 days even if symptoms of infection disappear.
C) Force micturition every 2 hours while awake.
D) Take prescribed diuretics early in the day to avoid having to get up during the night.
Ans: B
Feedback:
Chronic pyelonephritis involves a recurrent or persistent bacterial infection superimposed on urinary tract obstruction, urine reflux, or both. Chronic obstructive pyelonephritis can be bilateral, caused by conditions that obstruct bladder outflow; or unilateral, such as occurs with ureteral obstruction. Cranberry juice, forced micturition, and diuretics are not standard treatments for chronic pyelonephritis.
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