H19-374 Exam Questions and Answers

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H19-374 - HCS-Pre-Sale-IVS (Huawei Certified Pre-sales Specialist IVS)

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A female client has married recently. A month ago she visited her physician with complaints of burning on urination. She was given a prescription for trimethoprim- sulfamethoxazole (Bactrim) DS bid for 10 days. She was admitted through the emergency room on Saturday evening complaining of flank pain. Her temperature was 104_F. A preliminary urinalysis revealed 31 bacteria along with red and white blood cells in the urine. A preliminary diagnosis of pyelonephritis was made. During a nursing admission assessment, which statement by the client demonstrates a possible cause for pyelonephritis?
A. "I have not been drinking six to eight glasses of water each day as the nurse had instructed."
B. "I recently had the flu, which could be settling in my kidneys now."
C. "I'm afraid I may have something wrong with my bladder because I have been getting bladder infections frequently since I've been married."
D. "I took the Bactrim for 6 or 7 days. The burning stopped, so I saved the rest of the medication for the next time."
Answer: D
(A) Although it is important that the client drink adequate fluids while treating a bladder infection with trimethoprimsulfamethoxazole, the failure to do so will not cause pyelonephritis. (B) A stricture or abnormality may cause the progression of bladder infection to urinary tract infection, but this is rare. There is no indication in this situation that this has occurred. (C) The most common cause of pyelonephritis is improper treatment of bladder infections. The client typically feels better after several days, discontinues the medication, and saves the remainder forthe next occurrence of a bladder infection. For this reason, it is imperative to provide client education related to completion of the prescribed medication. (D) There is no evidence that infection in another body system could cause pyelonephritis.

A new project is being planned and the project manager learns of a group that is concerned with potential impacts on the area To ensure that these concerns are addressed what should the project manager do first?
A. Perform a risk analysis
B. Use expert judgment
C. Evaluate the stakeholders' influence
D. Identify the stakeholders.
Answer: A

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