Moderate

A patient with acute pyelonephritis has a temperature of 39.2°C, chills, flank pain, and nausea. Which nursing action is the priority?

Correct answer: C. Administer the prescribed antibiotic

  • A. Apply a warm pack to the flank
  • B. Encourage oral fluids if not restricted
  • C. Administer the prescribed antibiotic
  • D. Teach proper perineal hygiene

Explanation

Pyelonephritis is a kidney infection, so timely administration of the prescribed antibiotic treats the cause and helps prevent sepsis. Fluids, comfort measures, and hygiene teaching are useful, but they do not replace antimicrobial treatment.

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About Renal and Urological Nursing

Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.

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