Author Question: The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are ... (Read 79 times)

kfurse · **on:** Jun 25, 2018

The nurse is caring for a client diagnosed with pyelonephritis. Which of the following are appropriate interventions that the nurse should perform? (Select all that apply.)

1. Ensure adequate hydration.
2. Monitor vital signs and fluid balance.
3. Insert a urinary catheter.
4. Provide urinary antiseptics.
5. Monitor electrolytes and creatinine level.
6. Monitor hemoglobin level.

Question 2

During discharge teaching with a client diagnosed with autosomal dominant polycystic kidney disease, the nurse should stress which of the following points? (Select all that apply.)

1. Take more tub baths.
2. Void frequently.
3. Practice good perineal hygiene.
4. Void after intercourse.
5. Take showers.
6. Limit fluids.

anoriega3 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

1, 2, 4, 5
The nurse should ensure the client has adequate hydration. The nurse should monitor the client's vital signs, fluid balance, electrolytes, and creatinine level. Urinary antiseptics should be provided as prescribed. A urinary catheter is discouraged because of the risk of urinary tract infection. Monitoring of the hemoglobin level is not necessary with this disorder.

Answer to Question 2

2, 3, 4, 5
Tub baths should be avoided for female patients. The client should not be instructed to limit fluids. Discharge teaching should include frequent voiding, good perineal hygiene, voiding after intercourse, and taking showers instead of tub baths.