A 28-year-old female client presents to the emergency department ...

[BrownTown3]

A 28-year-old female client presents to the emergency department with a temperature of 102.4F.
 
  She states that she began experiencing frequency and burning upon urination yesterday and in the middle of the night woke up with the fever and chills. She also states that her back is hurting. These symptoms describe what type of infection?
  1. Urethritis
  2. Acute pyelonephritis
  3. Acute renal failure
  4. Cystitis

Question 2

The nurse is preparing to discharge a client with a urinary tract infection (UTI) from the urgent care center. The nurse tells the client to call the health care provider is the current fever does not diminish below ____ degrees Celsius within 3 days.
 
  Standard Text: Record your answer rounding to one decimal place.
  Fill in the blank with the appropriate word.

[katara]

Answer to Question 1

Correct Answer: 2
Rationale 1: The client with urethritis would have discomfort during voiding but would not have other symptoms of irritative voiding, or have fever or back pain.
Rationale 2: Acute pyelonephritis is an inflammation of the kidney, pelvis, and other renal cells. The symptoms include irritative voiding symptoms, vomiting, fever, chills, and acute costovertebral angle and flank tenderness.
Rationale 3: Acute renal failure (ARF)or acute kidney injury (AKI), as it is now referred to in the literatureis defined as an abrupt or rapid decline in renal filtration function. ARF has few symptoms initially; in its second phase it is marked by fluid retention, azotemia, and metabolic acidosis.
Rationale 4: Cystitis is a bladder infection. The client usually complains of symptoms such as dysuria and increased urgency and frequency. There is discomfort over the suprapubic area, not in the back or flank area. Temperature would be mildly elevated if at all.

Answer to Question 2

Correct Answer: 37.8
Rationale: Teach the client to report a fever that does not diminish below 37.8C (100F) or per the parameters set by the health care provider within 3 days, increasing signs and symptoms of infection, or symptoms that remain after taking the entire course of the antibacterial drug.

[BrownTown3]

TY

[katara]

You're welcome