A client is admitted with a high fever accompanied by chills. The ...

[fnuegbu]

A client is admitted with a high fever accompanied by chills. The client complains of costovertebral pain but denies dysuria, urgency, or frequency.
 
  The diagnosis is pyelonephritis related to pathogens present in the blood. How would the nurse classify this urinary tract infection?
  1. Ascending
  2. Hematogenous
  3. Retrograde
  4. Against the flow

Question 2

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

[flannelavenger]

Answer to Question 1

Correct Answer: 2
Rationale 1: Ascending UTIs are those that travel from the urethra to the bladder or the kidney.
Rationale 2: A hematogenous infection is caused by pathogens traveling through the blood.
Rationale 3: Retrograde, or ascending, UTIs travel from the urethra to the bladder or the kidney.
Rationale 4: Against the flow refers to the difficulty that uropathogens have in reaching beyond the proximal portion of the urethra. It is a protection against UTIs.
Global Rationale: A hematogenous infection is caused by pathogens traveling through the blood. Retrograde, or ascending, UTIs travel from the urethra to the bladder or the kidney. Against the flow refers to the difficulty that uropathogens have in reaching beyond the proximal portion of the urethra. It is a protection against UTIs.

Answer to Question 2

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.

[fnuegbu]

Excellent

[mohan]

TYSM