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93. 32 Years Old Female Client Complained Painful Urination, Flank Pain, Low Back Pain, Nausea Vomiting. The Nurse Is Aware That

Question

93. A 32 years old female client complained painful urination, flank pain, low back pain, nausea and vomiting. The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis? A. Low WBC count C. Ketonuria B. Myoglobinuria D. Pyuria

Solution

Verificación de expertos
4 (266 Votos)
Leonardo Mestre · Tutor por 5 anos

Resposta

The correct answer is D. Pyuria.Pyelonephritis is a type of kidney infection that can cause symptoms such as painful urination, flank pain, low back pain, nausea, and vomiting. Laboratory values that support a diagnosis of pyelonephritis include:D. Pyuria - This refers to the presence of pus in the urine, which is a common sign of a urinary tract infection (UTI) and can indicate pyelonephritis.Other laboratory findings that may support the diagnosis of pyelonephritis include:- Elevated white blood cell (WBC) count- Presence of bacteria or white blood cells in the urine- Increased levels of creatinine and blood urea nitrogen (BUN)- Possible presence of hematuria (blood in the urine)The other options provided are not directly related to the diagnosis of pyelonephritis:A. Low WBC count - This is not consistent with an infection, as an infection typically causes an increase in WBC count.B. Myoglobinuria - This refers to the presence of myoglobin in the urine, which can indicate muscle damage but is not a specific indicator of pyelonephritis.C. Ketonuria - This refers to the presence of ketones in the urine, which is more commonly associated with conditions like diabetes or starvation, rather than pyelonephritis.Therefore, the laboratory value that best supports the diagnosis of pyelonephritis in this case is pyuria (option D).