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