Patho Patho #35

Question

What is the nurse’s priority concern for the client with pyelonephritis?

Answers

  1. 1. Risk of developing kidney stones
    • Rationale:

      This answer choice is not correct because the risk of kidney stones is not a priority concern over the potential development of sepsis in a client with pyelonephritis.

  2. 2. Pain
    • Rationale:

      This answer choice is not correct because pain is considered a psychosocial need which is not priority over physiologic needs under usual circumstances.

  3. 3. Risk of chronic renal impairment.
    • Rationale:

      This answer choice is not correct because although chronic renal impairment is a possibility in clients with acute kidney dysfunction, it is not the nurse’s priority as it not an immediate threat to the client. The risk for sepsis is the most critical potential complication and should be monitored for closely in clients with pyelonephritis.

  4. 4. Risk of sepsis
    • Rationale:

      This answer is correct because the risk for sepsis is the nurse’s highest priority in clients with pyelonephritis. Sepsis can develop when there is infection present and may lead to septic shock and death so this is the most critical and immediate potential complication of pyelonephritis.

Overview

Pyelonephritis is an inflammation of the kidneys, usually due to an infection. The most common signs/symptoms are fever and costovertebral angle tenderness. Since the underlying etiology of pyelonephritis is usually infection, sepsis is the most important risk factor and clients should be monitored closely for worsening infection that could indicate the development of sepsis.

Explanation

Learning Outcomes

The focus of this question is asking the nurse to determine the most critical potential complication of pyelonephritis. Pyelonephritis is inflammation of the kidneys due to an infectious cause. Whenever there is infection present within the body, there is a risk that the infection will reach the bloodstream and lead to sepsis. Sepsis can lead to septic shock and death and is therefore the nurse’s priority concern when caring for a client with pyelonephritis.

Test Taking Tip

A-B-C- Sepsis can lead to septic shock which can very quickly cause relative hypovolemia, hypotension, and death.

Video Rationale