Nursing Management of Pyelonephritis and Kidney Stones

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Questions and Answers

What is the purpose of assessing for signs of complications such as urosepsis in the management of pyelonephritis?

  • To ensure adequate antibiotic intake
  • To monitor urinary tract pain
  • To prevent the formation of kidney stones
  • To detect potential systemic infections (correct)

Which type of stones form due to a buildup of cystine in the urine, leading to restrictions on certain dietary items such as pork and poultry?

  • Struvite stones
  • Uric acid stones
  • Cystine stones (correct)
  • Calcium oxalate stones

In relation to patient electrolyte levels, when is ADH (Vasopressin) released?

  • When blood osmolality is low
  • When blood becomes too concentrated (correct)
  • In response to decreased osmotic pressure
  • When sodium levels are high

What triggers the release of renin in the body?

<p>Drop in blood pressure (A)</p> Signup and view all the answers

Which statement accurately describes the role of aldosterone on the kidneys?

<p>It increases sodium reabsorption in the kidneys (B)</p> Signup and view all the answers

For which type of pain associated with pyelonephritis should Toradol and ibuprofen be used?

<p>Flank pain (D)</p> Signup and view all the answers

What does elevated serum creatinine levels indicate?

<p>Decreased kidney function (A)</p> Signup and view all the answers

Which hormone triggers the increased release of the substance that assists with Na+ sorption and K+ and H+ excretion?

<p>Adrenocorticotropic hormone (ACTH) (A)</p> Signup and view all the answers

In older adults, high-normal or minimally elevated creatinine levels may indicate what?

<p>Reduced renal function (D)</p> Signup and view all the answers

What is a common manifestation of fluid and electrolyte imbalance in older adults?

<p>Impaired micturition (B)</p> Signup and view all the answers

Which test is NOT commonly used for determining renal dysfunction?

<p>Blood glucose test (B)</p> Signup and view all the answers

What can lead to an increased chance of adverse effects of drugs in older adults?

<p>Decreased renal reserves (B)</p> Signup and view all the answers

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