Author Question: A patient with pyelonephritis asks the nurse to explain the condition. How should the nurse respond? ... (Read 65 times)

OSWALD · **on:** Jun 25, 2018

A patient with pyelonephritis asks the nurse to explain the condition. How should the nurse respond?

1. It is an infection of the kidney.
2. It is an inflammation of the bladder.
3. It is an infection of the lower urinary tract.
4. It is a blockage in the tube from your kidney to your bladder.

Question 2

The nurse observes a distended bladder and no change in urine output in a patient with an indwelling urinary catheter and drainage system. What should the nurse do first?

1. assess the catheter tubing for kinks and position it so drainage is maintained by gravity
2. notify the physician
3. flush the catheter with sterile saline using a large syringe
4. change the catheter

nanny · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Pyelonephritis is an infection of the renal pelvis and parenchyma, the functional unit of the kidney. Pyelonephritis is not an inflammation of the bladder; it does not occur in the lower urinary tract or ureter.

Answer to Question 2

Correct Answer: 1
The nurse should assess and maintain the patency and integrity of all catheter systems. A kinked catheter may damage the urinary system. Notifying the physician is not an immediate intervention. Flushing or changing a catheter increases the risk of infection.