A 34-year-old patient is being seen in the ED for complaints of severe flank pain lasting for 2 days. The ED physician suspects that the patient has hydroureter. Which of the following tests would the nurse expect the health care provider to order?
a. KUB (kidney, ureter, bladder) radiography
b. IVP (intravenous pyelogram)
c. Endoscopy
d. Ultrasound renal bladder
D
Health care providers use the x-ray examination to determine the size, shape, and location of the kidneys, ureters, and bladder structures. It is also useful in visualizing calculi (stones) or tumors in these organs. Common uses of endoscopy include: microscopic hematuria, detect/obtain specimens from bladder tumors, and obstruction of the bladder outlet and urethra. Common uses for IVP include: detect and measure urinary calculi, tumors, hematuria, and obstruction of the urinary tract. Doing an ultrasound renal bladder would detect masses, obstruction, the presence of hydronephrosis or hydroureter, abnormalities in the bladder wall, calculi, and measure postvoid residual.
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