A patient presents with fever, chills, and costovertebral angle tenderness. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?

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Question 1 of 5

A patient presents with fever, chills, and costovertebral angle tenderness. Urinalysis reveals pyuria and bacteriuria. Which of the following conditions is most likely?

Correct Answer: A

Rationale: Acute pyelonephritis is the most likely condition based on the patient presentation and urinalysis findings described. Acute pyelonephritis is an infection of the renal parenchyma and pelvis, typically caused by ascending bacteria from the lower urinary tract. The classic symptoms include fever, chills, flank pain, and costovertebral angle tenderness (tenderness over the kidneys). The presence of pyuria (pus in the urine) and bacteriuria (bacteria in the urine) on urinalysis further supports the diagnosis of acute pyelonephritis. It is crucial to diagnose and treat acute pyelonephritis promptly to prevent complications and recurrent infections.

Question 2 of 5

Since she wanted to capture the essence and emotion of the victims she chose to use the qualitative design. Which among the statements below is CORRECT about qualitative design?

Correct Answer: C

Rationale: Qualitative research design focuses on gaining an in-depth understanding of attitudes, beliefs, motivations, and behaviors of individuals or groups. It does not typically involve statistical analysis or estimation of relationships between variables like quantitative designs do. Qualitative research involves collecting data through methods such as interviews, observations, or focus groups to provide rich and detailed insights into the experiences and perspectives of the participants. The emphasis is on understanding the meanings individuals attach to their experiences, rather than generalizing findings to a larger population.

Question 3 of 5

Which of the following clinical manifestations would the nurse expect to find when performing admission assessment?

Correct Answer: D

Rationale: When performing an admission assessment, the nurse should expect to find clinical manifestations that are indicative of a variety of conditions. Paresthesia (abnormal sensation like tingling, prickling, or numbness) and muscle weakness of the upper body are commonly associated with neurological conditions such as peripheral neuropathy or cervical radiculopathy. These symptoms suggest dysfunction in the nerves that supply the upper body muscles, leading to sensory changes and weakness. This finding would prompt further assessment and evaluation by healthcare providers to determine the underlying cause and appropriate interventions. Rapid progressive muscular atrophy, ascending paralysis with ataxia, and hyperactive deep tendon reflexes are not typically expected findings during an admission assessment and may signal more specific neurological conditions such as amyotrophic lateral sclerosis, Guillain-Barré syndrome, or spinal cord injury, respectively.

Question 4 of 5

Joji, l7 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversations with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his choice but rather the choice of his parents. In which of Erikson 's stage of development does this case fall?

Correct Answer: C

Rationale: According to Erikson's theory of psychosocial development, the stage of Identity versus Role Confusion occurs during adolescence, which is typically around the ages of 12 to 18 years old. This stage is characterized by the individual exploring and developing their personal identity, values, and beliefs.

Question 5 of 5

Past medical history section of Krini contains. the following, but NOT______

Correct Answer: B

Rationale: The past medical history section typically includes information about a person's medical background before the current point in time. This would involve details such as prenatal history, birth history, childhood illnesses, surgeries, and medical conditions that have occurred in the past. "Current history" would be more appropriate for the present medical status and ongoing health issues, hence it does not belong in the past medical history section.

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