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The nurse is collecting a nursing history from a client admitted with acute pyelonephritis. Which of the following questions should the nurse ask? A. “Have you noticed any blood in your urine?” B. “Have you experienced a decrease in your urinary output?” C. “Do you have pain when urinating?” D. “Do you find you are experiencing dribbling at the end of urinating?”

Question

The nurse is collecting a nursing history from a client admitted with acute pyelonephritis. Which of the following questions should the nurse ask?

A. “Have you noticed any blood in your urine?” B. “Have you experienced a decrease in your urinary output?” C. “Do you have pain when urinating?” D. “Do you find you are experiencing dribbling at the end of urinating?”

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Solution

The nurse is collecting a nursing history from a client admitted with acute pyelonephritis. To gather relevant information, the nurse should ask the following questions step by step:

  1. "Have you noticed any blood in your urine?" This question is important to assess for the presence of hematuria, which is a common symptom of pyelonephritis.

  2. "Have you experienced a decrease in your urinary output?" This question helps determine if the client has experienced a decrease in the amount of urine they are producing, which can be a sign of kidney dysfunction associated with pyelonephritis.

  3. "Do you have pain when urinating?" This question is crucial to assess for dysuria, which is a common symptom of pyelonephritis. Pain during urination can indicate inflammation and infection in the urinary tract.

  4. "Do you find you are experiencing dribbling at the end of urinating?" This question is relevant to assess for urinary retention, which can occur in severe cases of pyelonephritis. Dribbling at the end of urination may indicate incomplete emptying of the bladder.

By asking these questions, the nurse can gather important information about the client's symptoms and assess the severity of their pyelonephritis.

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