Question

A nurse is reviewing the medical record of a client who has decreased urinary output. Which of the following findings should the nurse identify as a risk factor for the development of pyelonephritis?

a) High fluid intake
b) Regular voiding habits
c) History of urinary tract infections
d) Low dietary sodium

Answer 1

A nurse should identify a history of urinary tract infections as a risk factor for the development of pyelonephritis. The correct answer is c) History of urinary tract infections.

Step-by-step explanation:

A nurse should identify a history of urinary tract infections as a risk factor for the development of pyelonephritis. Pyelonephritis is an infection of the kidneys that can occur as a complication of a urinary tract infection. It typically involves the upper urinary tract, including the ureters.

Patients who have a history of urinary tract infections are more likely to develop pyelonephritis because the infection can spread from the lower urinary tract to the kidneys. If left untreated, pyelonephritis can lead to serious complications, such as kidney damage or sepsis.

Therefore, it is important for the nurse to consider a history of urinary tract infections when assessing a client with decreased urinary output as it may be a risk factor for pyelonephritis.