Renal Question #30


A client is seen in the clinic with fever and dysuria and voices concern of another urinary infection. The client has a history of 6 urinary infections over the past year. After assessing the client, the nurse interprets findings to be consistent with pyelonephritis. What are the other signs and symptoms characteristic of pyelonephritis? (Select all that apply)


  1. Costoverebral angle tenderness.
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  2. Cloudy, bloody, or foul-smelling urine.
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  3. Proteinuria.
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  4. Low blood pressure.
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Pyelonephritis signs include all but low blood pressure. Hypertension may occur, especially with chronic pyelonephritis. The condition is usually caused by bacteria and may occur following chronic urinary flow obstruction with reflux. It can lead to bacteremia or chronic pyelonephritis and fibrosing of the ureters.

Learning Outcomes

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