30 Questions
Which of the following is a complication of chronic pyelonephritis?
Loss of nephrons
What is one of the medical management strategies for chronic pyelonephritis?
Prophylactic antimicrobial therapy
What is a potential consequence of impaired kidney function in relation to antimicrobial therapy?
Increased toxicity of antimicrobial agents
What should the nurse assess every 4 hours for a patient with chronic pyelonephritis?
Temperature
What is an important aspect of patient education for preventing further infection in chronic pyelonephritis?
Consuming adequate fluids
What can chronic incomplete bladder emptying lead to?
Recurrent bladder infection
What can cause high-pressure detrusor contractions and result in hydronephrosis?
Benign prostatic hyperplasia
What is the role of the nurse in the management of chronic pyelonephritis?
All of the above
What is one of the key factors in preventing further infection in chronic pyelonephritis?
Emptying the bladder regularly
What is the main goal of medical management for chronic pyelonephritis?
Eradicating bacteria from the urine
Which type of urinary tract infection is thought to be the most likely in upper UTIs?
Acute pyelonephritis
What is the main cause of upper UTIs?
Spread of bacteria from systemic sources
What increases the susceptibility of the kidneys to infection in upper UTIs?
Incompetent ureterovesical valve
Which of the following is a potential cause of obstruction that can lead to upper UTIs?
Prostate tumors
What is the term for a bacterial infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys?
Pyelonephritis
What is the term for inflammation of the kidney in upper UTIs?
Interstitial nephritis
Which of the following can result from upper UTIs?
All of the above
What is the term for a common cause of urosepsis in upper UTIs?
Kidney abscesses
What can cause the upward spread of bacteria from the bladder into the kidney, resulting in pyelonephritis?
Incompetent ureterovesical valve
What can spread to the kidneys and result in abscesses in upper UTIs?
Tuberculosis
Which of the following is a clinical manifestation of acute pyelonephritis?
Low back pain and flank pain
What is the cause of chronic pyelonephritis?
Repeated bouts of acute pyelonephritis
Which diagnostic test is used to locate an obstruction in the urinary tract?
IV pyelogram
What is the recommended duration of antibiotic therapy for acute uncomplicated pyelonephritis?
2 weeks
What is the most common finding on physical examination of a patient with acute pyelonephritis?
Pain and tenderness in the costovertebral angle
What is the purpose of a follow-up urine culture after completion of antibiotic therapy for acute pyelonephritis?
To document clearing of the infection
What is the main symptom of chronic pyelonephritis?
Fatigue
Which test is used to assess the extent of chronic pyelonephritis?
IV urogram
What is the medical management approach for acute uncomplicated pyelonephritis?
Outpatient treatment with antibiotic agents
What can chronic pyelonephritis lead to?
Chronic kidney disease
Test your knowledge on upper urinary tract infections with this quiz. Learn about the different types, causes, and complications of upper UTIs.
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