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1. The clinic nurse is admitting a 39-year-old woman who has come to the clinic complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse suspect the patient has?
A) Cystitis
B) Kidney stones
C) Neurogenic bladder
D) Pyelonephritis
Ans: D
Feedback:
The fever and chills indicate an inflammatory process. Flank pain and left-sided tenderness indicate kidney swelling within the capsule. These symptoms indicate pyelonephritis. Kidney stones cause intense pain; fever and chills would not be present. Cystitis and neurogenic bladder present with bladder-related symptoms such as frequency, urgency, burning, and bloating.
2. The nurse is caring for four patients. Which patient would flavoxate (Urispas), a urinary tract medication, be indicated for?
A) A 1-year-old girl
B) A 6-year-old boy
C) A 10-year-old boy
D) A 14-year-old girl
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