NR325 Ch 45 Exam Questions and Answers

In teaching a patient with pyelonephritis about the disorder, the nurse informs the patient that the organisms that cause pyelonephritis most commonly reach the kidneys through a. the bloodstream. b. the lymphatic system. c. a descending infection. d. an ascending infection. - Answer-d. an ascending infection The nurse teaches the female patient who has frequent UTIs that she should a. take tub baths with bubble bath. b. urinate before and after sexual intercourse. c. take prophylactic sulfonamides for the rest of her life. d. restrict fluid intake to prevent the need for frequent voiding. - Answer-b. urinate before and after sexual intercourse. The immunologic mechanisms involved in acute poststreptococcal glomerulonephritis include a. tubular blocking by precipitates of bacteria and antibody reactions. b. deposition of immune complexes and complement along the GBM. c. thickening of the GBM from autoimmune microangiopathic changes. d. destruction of glomeruli by proteolytic enzymes contained in the GBM. - Answer-b. deposition of immune complexes and complement along the GBM. One of the nurse's most important roles in relation to acute poststreptococcal glomerulonephritis is to a. promote early diagnosis and treatment of sore throats and skin lesions. b. encourage patients to obtain antibiotic therapy for upper respiratory tract infections.