Exploring Upper Urinary Tract Infections
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Questions and Answers

Which of the following is a complication of chronic pyelonephritis?

  • Formation of gallstones
  • End-stage liver disease
  • Loss of nephrons (correct)
  • Hypertension

    • What is one of the medical management strategies for chronic pyelonephritis?

  • Prophylactic antimicrobial therapy (correct)
  • Administration of antipyretic agents
  • Monitoring liver function
  • Surgical removal of the kidneys

    • What is a potential consequence of impaired kidney function in relation to antimicrobial therapy?

  • Increased excretion of antimicrobial agents
  • No effect on the excretion of antimicrobial agents
  • Increased toxicity of antimicrobial agents (correct)
  • Decreased excretion of antimicrobial agents

    • What should the nurse assess every 4 hours for a patient with chronic pyelonephritis?

    <p>Temperature</p> Signup and view all the answers

    What is an important aspect of patient education for preventing further infection in chronic pyelonephritis?

    <p>Consuming adequate fluids</p> Signup and view all the answers

    What can chronic incomplete bladder emptying lead to?

    <p>Recurrent bladder infection</p> Signup and view all the answers

    What can cause high-pressure detrusor contractions and result in hydronephrosis?

    <p>Benign prostatic hyperplasia</p> Signup and view all the answers

    What is the role of the nurse in the management of chronic pyelonephritis?

    <p>All of the above</p> Signup and view all the answers

    What is one of the key factors in preventing further infection in chronic pyelonephritis?

    <p>Emptying the bladder regularly</p> Signup and view all the answers

    What is the main goal of medical management for chronic pyelonephritis?

    <p>Eradicating bacteria from the urine</p> Signup and view all the answers

    Which type of urinary tract infection is thought to be the most likely in upper UTIs?

    <p>Acute pyelonephritis</p> Signup and view all the answers

    What is the main cause of upper UTIs?

    <p>Spread of bacteria from systemic sources</p> Signup and view all the answers

    What increases the susceptibility of the kidneys to infection in upper UTIs?

    <p>Incompetent ureterovesical valve</p> Signup and view all the answers

    Which of the following is a potential cause of obstruction that can lead to upper UTIs?

    <p>Prostate tumors</p> Signup and view all the answers

    What is the term for a bacterial infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys?

    <p>Pyelonephritis</p> Signup and view all the answers

    What is the term for inflammation of the kidney in upper UTIs?

    <p>Interstitial nephritis</p> Signup and view all the answers

    Which of the following can result from upper UTIs?

    <p>All of the above</p> Signup and view all the answers

    What is the term for a common cause of urosepsis in upper UTIs?

    <p>Kidney abscesses</p> Signup and view all the answers

    What can cause the upward spread of bacteria from the bladder into the kidney, resulting in pyelonephritis?

    <p>Incompetent ureterovesical valve</p> Signup and view all the answers

    What can spread to the kidneys and result in abscesses in upper UTIs?

    <p>Tuberculosis</p> Signup and view all the answers

    Which of the following is a clinical manifestation of acute pyelonephritis?

    <p>Low back pain and flank pain</p> Signup and view all the answers

    What is the cause of chronic pyelonephritis?

    <p>Repeated bouts of acute pyelonephritis</p> Signup and view all the answers

    Which diagnostic test is used to locate an obstruction in the urinary tract?

    <p>IV pyelogram</p> Signup and view all the answers

    What is the recommended duration of antibiotic therapy for acute uncomplicated pyelonephritis?

    <p>2 weeks</p> Signup and view all the answers

    What is the most common finding on physical examination of a patient with acute pyelonephritis?

    <p>Pain and tenderness in the costovertebral angle</p> Signup and view all the answers

    What is the purpose of a follow-up urine culture after completion of antibiotic therapy for acute pyelonephritis?

    <p>To document clearing of the infection</p> Signup and view all the answers

    What is the main symptom of chronic pyelonephritis?

    <p>Fatigue</p> Signup and view all the answers

    Which test is used to assess the extent of chronic pyelonephritis?

    <p>IV urogram</p> Signup and view all the answers

    What is the medical management approach for acute uncomplicated pyelonephritis?

    <p>Outpatient treatment with antibiotic agents</p> Signup and view all the answers

    What can chronic pyelonephritis lead to?

    <p>Chronic kidney disease</p> Signup and view all the answers

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