The clinic nurse is admitting a 39-year-old woman who has come to ...

[storky111]

The clinic nurse is admitting a 39-year-old woman who has come to the clinic complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse suspect the patient has?
 
  A) Cystitis
  B) Kidney stones
  C) Neurogenic bladder
  D) Pyelonephritis

Question 2

A patient presents at the emergency department complaining of sudden onset of high fever and swelling and reddening of the limbs. Assessment shows severe hypotension.
 
  The nurse taking the patient's history notes that the patient has recently returned to the United States from the African continent. The patient is admitted to the intensive care unit (ICU) suspected of having malaria caused by what protozoan? A) Plasmodium ovale
  B) Plasmodium falciparum
  C) Plasmodium vivax
  D) Plasmodium malariae

[hugthug12]

Answer to Question 1

D
Feedback:
The fever and chills indicate an inflammatory process. Flank pain and left-sided tenderness indicate kidney swelling within the capsule. These symptoms indicate pyelonephritis. Kidney stones cause intense pain; fever and chills would not be present. Cystitis and neurogenic bladder present with bladder-related symptoms such as frequency, urgency, burning, and bloating.

Answer to Question 2

B
Feedback:
P. falciparum is considered to be the most dangerous type of protozoan. Infection with this protozoan results in an acute, rapidly fulminating form of the disease with high fever, severe hypotension, swelling and reddening of the limbs, loss of red blood cells, and even death. The other options are pathogens that cause milder forms of the disease and P. ovale is rarely encountered.