The nurse would anticipate an order for which diagnostic test for a patient who has severe flank pain and calcium phosphate crystals revealed on urinalysis?
a. Renal ultrasound
b. Bladder scan
c. KUB x-ray
d. Intravenous pyelogram
D
Flank pain and calcium phosphate crystals are associated with renal calculi. An intravenous pyelogram allows the provider to observe pathological problems such as obstruction of the ureter. A renal ultrasound is performed to identify gross structures. A bladder scan measures the amount of urine in the bladder. A KUB x-ray shows size, shape, symmetry, and location of the kidneys.
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The nursing faculty member explains to a class of nursing students the correct way to assist with perineal care (peri-care) after childbirth. Which action by a student nurse would warrant intervention by the faculty member?
A. Has woman squirt warm water toward the front of the perineum B. Instructs the woman to wash her hands prior to peri-care C. Removes the peri-pad from back to front and appropriately disposes of it D. Washes the hands before assisting woman with her peri-care
A 74-year-old man who has just returned to the medical-surgical floor following surgery for a total knee replacement says he has "been confused in the past" when he takes pain medications. The nurse realizes that the elderly may:
A) Require lower doses of medication and are easily confused with new medications B) Have altered absorption and metabolism, which prohibits the use of opiates C) Be confused following surgery and that is related to normal aging and unrelated to the medication D) Require a higher initial dose of pain medication followed by a tapered dose
The client has a deficiency of all the following pituitary hormones. Which one should be addressed first?
A. Growth hormone B. Luteinizing hormone C. Thyroid-stimulating hormone D. Follicle-stimulating hormone
The nurse notes that the client's serum calcium level is 6.0 mg/dL. Which of the following assessment findings would be anticipated in this client? Select all that apply
1. Tetany 2. Constipation 3. Renal calculi 4. Hypotension 5. Prolonged QT interval 6. Positive Chvostek's sign