Practice Question
A client has been diagnosed with pyelonephritis. Based on the client's medical history, which disorder is a risk factor for developing pyelonephritis
Answer Choices:
Correct Answer:
Diabetes
Rationale:
🔷 Diabetes mellitus is a major risk factor for pyelonephritis due to impaired immune response and poor glycemic control, which create an environment conducive to bacterial growth.
🔷 Hyperglycemia promotes bacterial colonization in the urinary tract and reduces the ability of neutrophils to fight infections effectively.
🔷 Diabetic clients often have autonomic neuropathy, which may impair bladder emptying, leading to urinary stasis, a key contributor to upper urinary tract infections like pyelonephritis.
🔷 Pyelonephritis is a bacterial infection of the renal pelvis and kidney, often ascending from lower urinary tract infections, which are more common in diabetics.
🔷 Management requires antibiotic therapy, close monitoring, and glycemic control to prevent recurrence and renal complications.
Want to practice more questions like this?
This question is from N3661 spring 2025 Final Exam which contains 78 questions.
More Questions from This Exam
A nurse assessed a client immediately after thyroidectomy and asked the client to say "hello." The client moves the lips but is not able to speak the word. What should the nurse do next?
Answer Choices:
A client is being evaluated for hypothyroidism. To plan care, the nurse should ask the client which sign or symptom?
Answer Choices:
The nurse is caring for a client with hyperthyroidism. The nurse should include the following in the plan of care :
Answer Choices:
A nurse is caring for a client who had a total thyroidectomy and a serum calcium level of 7.6 mg/dL. (range 8.5-10.5) Which of the following findings should the nurse expect?
Answer Choices:
Which statement by a female client would indicate that she is at the highest risk for a recurrence of cystitis
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4