MARYVILLE NURS 620 EXAM 4 PRACTICE
SOLUTION 2026 COMPLETE QUESTIONS WITH
ANSWERS GRADED A+
◉ Hospitalization or close monitoring. Answer: Recommended plan
of action for patient with pyelo?
◉ -Mild-Moderate: Septra DS or Cipro 7-10 days (cephalosporin or
quinolones)
-Severe: 14 days
-Slow responders: 21 days. Answer: What is the recommended
treatment for pyelo?
◉ Follow up urine culture. Answer: What follow up should be
performed with pyelo?
◉ If has N/V, signs of sepsis or is pregnant/geriatric. Answer: When
should patient with pyelo be considered for inpatient antibiotic
treatment
◉ Caused by fecal flora that colonize the vaginal introitus and
subsequently ascend along the urinary tract to the kidneys; Bacteria
enters through urethral meatus and ascends upward toward one or
,both kidneys via ureters, bloodstream, or lymphatic system..
Answer: What is the typical pathophysiology of pyelo?
◉ Acute pyelonephritis. Answer: Swelling of renal parenchyma
occurs as a result of patchy distribution of the acute infectious
process.
◉ Chronic Pyelonephritis. Answer: Usually caused by a recurrent or
chronic bacterial infection of the kidney, often related to the
presence of catheters.
◉ - Fatigue
-Nausea
-decreased appetite with wt loss
-nocturia &/or polyuria
-symptoms of renal failure. Answer: Clinical presentation of chronic
pyelonephritis.
◉ Marked tenderness on deep abdominal palpation
Hypertension. Answer: What are two frequent physical exam
findings with pyelo?
◉ Patient presents with impaired renal function caused by damage
to kidneys. Answer: When is chronic pyelo usually first diagnosed?
,◉ Positive for bacteria, proteinuria, leukocyte esterase, urinary
nitrites, hematuria, pyuria, WBC casts
Urine culture > 100,000. Answer: Presentation of UA/C&S with
pyelo?
◉ Blood cultures
cysto with urethral catheterization
Renal ultrasound or IVP
Kidney biopsy sometimes appropriate for diagnosis. Answer: What
diagnostic testing may be performed with pyelo other than UA/C&S?
◉ Presence of WBC casts. Answer: What is the main diagnostic
criteria that differentiates pyelo from cystitis?
◉ Identify persistent pyuria & positive urine cultures. Answer: How
is the definitive diagnosis of pyelo determined?
◉ -48 hrs after antibiotic intiiation to evaluate responsiveness to
therapy & consider discharge in hospital setting. Answer: When
should patient be reassessed following intiation of treatment for
pyelo?
, ◉ Reculture @ 2, 6, and 12 weeks after antibiotc therapy is initiated..
Answer: When should you reculture with recurrent pyelo?
◉ Refer to nephrologist. Answer: Recommended referral plan for
chronic pyelo?
◉ Prerenal, renal, post renal, false, or benign. Answer: What is the
potential pathogenesis to consider with hematuria?
◉ -color of the urine
-concurrent symptoms (fever, N/V, frequency, dysuria
-Medications-NSAIDS, blood thinners?
-Potential trauma
-Prostate problems?. Answer: What is the clinical findings and
examination considerations with hematuria?
◉ -UTI/pyelonephritis
-Cancers
-BPH. Answer: Potential differential diagnosis for hematuria
◉ -Abdominal exam (tenderness, masses, CVA tenderness,
pelvic/prostate exam. Answer: Physical examination for hematuria
SOLUTION 2026 COMPLETE QUESTIONS WITH
ANSWERS GRADED A+
◉ Hospitalization or close monitoring. Answer: Recommended plan
of action for patient with pyelo?
◉ -Mild-Moderate: Septra DS or Cipro 7-10 days (cephalosporin or
quinolones)
-Severe: 14 days
-Slow responders: 21 days. Answer: What is the recommended
treatment for pyelo?
◉ Follow up urine culture. Answer: What follow up should be
performed with pyelo?
◉ If has N/V, signs of sepsis or is pregnant/geriatric. Answer: When
should patient with pyelo be considered for inpatient antibiotic
treatment
◉ Caused by fecal flora that colonize the vaginal introitus and
subsequently ascend along the urinary tract to the kidneys; Bacteria
enters through urethral meatus and ascends upward toward one or
,both kidneys via ureters, bloodstream, or lymphatic system..
Answer: What is the typical pathophysiology of pyelo?
◉ Acute pyelonephritis. Answer: Swelling of renal parenchyma
occurs as a result of patchy distribution of the acute infectious
process.
◉ Chronic Pyelonephritis. Answer: Usually caused by a recurrent or
chronic bacterial infection of the kidney, often related to the
presence of catheters.
◉ - Fatigue
-Nausea
-decreased appetite with wt loss
-nocturia &/or polyuria
-symptoms of renal failure. Answer: Clinical presentation of chronic
pyelonephritis.
◉ Marked tenderness on deep abdominal palpation
Hypertension. Answer: What are two frequent physical exam
findings with pyelo?
◉ Patient presents with impaired renal function caused by damage
to kidneys. Answer: When is chronic pyelo usually first diagnosed?
,◉ Positive for bacteria, proteinuria, leukocyte esterase, urinary
nitrites, hematuria, pyuria, WBC casts
Urine culture > 100,000. Answer: Presentation of UA/C&S with
pyelo?
◉ Blood cultures
cysto with urethral catheterization
Renal ultrasound or IVP
Kidney biopsy sometimes appropriate for diagnosis. Answer: What
diagnostic testing may be performed with pyelo other than UA/C&S?
◉ Presence of WBC casts. Answer: What is the main diagnostic
criteria that differentiates pyelo from cystitis?
◉ Identify persistent pyuria & positive urine cultures. Answer: How
is the definitive diagnosis of pyelo determined?
◉ -48 hrs after antibiotic intiiation to evaluate responsiveness to
therapy & consider discharge in hospital setting. Answer: When
should patient be reassessed following intiation of treatment for
pyelo?
, ◉ Reculture @ 2, 6, and 12 weeks after antibiotc therapy is initiated..
Answer: When should you reculture with recurrent pyelo?
◉ Refer to nephrologist. Answer: Recommended referral plan for
chronic pyelo?
◉ Prerenal, renal, post renal, false, or benign. Answer: What is the
potential pathogenesis to consider with hematuria?
◉ -color of the urine
-concurrent symptoms (fever, N/V, frequency, dysuria
-Medications-NSAIDS, blood thinners?
-Potential trauma
-Prostate problems?. Answer: What is the clinical findings and
examination considerations with hematuria?
◉ -UTI/pyelonephritis
-Cancers
-BPH. Answer: Potential differential diagnosis for hematuria
◉ -Abdominal exam (tenderness, masses, CVA tenderness,
pelvic/prostate exam. Answer: Physical examination for hematuria
