MED SURG COMPREHENSIVE WITH RATIONALS EXAM QUESTIONS AND GUARANTEED ANSWERS .

MED SURG COMPREHENSIVE WITH RATIONALS EXAM QUESTIONS AND GUARANTEED ANSWERS . A client admitted for acute pyelonephritis is about to start antibiotic therapy. Which symptom would be expected in this client? 1) Hypertension 2) Flank pain on the affected side 3) Pain that radiates toward the unaffected side 4) No tenderness with deep palpation over the CVA - ANSWER - RATIONAL: 2) The client may complain of pain on the affected side because the kidney is enlarged and might have formed an abscess. Hypertension is associated with chronic pyelonephritis. Pain may radiate down the ureters or to the epigastrium. The client would have tenderness with deep palpation over the CVA. Discharge instructions for a client treated for acute pyelonephritis should include which statement? - 1. Avoid taking any dairy products. - 2. Return for follow-up urine cultures. - 3. Stop taking the prescribed antibiotics when the symptoms subside. - 4. Recurrence is unlikely because you've been treated with antibiotics. - ANSWER - RATIONALE: 2) The client needs to return for follow-up urine cultures because bacteriuria may be present but asymptomatic. Intake of dairy products won't contribute to pyelonephritis. Antibiotics need to be taken for the full course of therapy regardless of the symptoms. Pyelonephritis typically recurs as a relapse or new infection and frequently recurs within 2 weeks of completing therapy.