Urinary Tract Infections · NCLEX Exam

A patient presents with fever, chills, flank pain, nausea and vomiting. Urinalysis shows leukocyte esterase and nitrites. This pattern is most consistent with:

  1. Lower UTI
  2. Upper UTI (pyelonephritis)
  3. Urethritis only
  4. Asymptomatic bacteriuria
Show answer and explanation

Correct answer: Upper UTI (pyelonephritis)

Upper tract infections involve the kidneys and typically produce systemic symptoms such as fever, flank pain, nausea/vomiting, in addition to urinary findings.

Difficulty: Medium Question 10 of 20

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