The parents of a child diagnosed with vesicoureteral reflux (VUR) want to know why their child's kidneys appear large on an abdominal x-ray. Which response by the nurse is the most appropriate?
A.
Enlarged due to urine backup
B.
Genetic defect causing VUR
C.
Multiple tumors
D.
Unrelated finding
ANS: A
In VUR, urine backflows into the kidneys, causing hydronephrosis, or distention of the kidneys. The other answers are incorrect.
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A nurse cares for a client who has a specific mutation in the a1AT (alpha1-antitrypsin) gene. Which action should the nurse take?
a. Teach the client to perform monthly breast self-examinations and schedule an annual mammogram. b. Support the client when she shares test results and encourages family members to be screened for cancer. c. Advise the client to limit exposure to secondhand smoke and other respiratory irritants. d. Obtain a complete health history to identify other genetic problems associated with this gene mutation.
A patient comes into the emergency room after being rear-ended in a motor vehicle accident. The nurse realizes that the patient most likely sustained which of the following types of injuries?
1. hyperextension 2. hyperflexion 3. axial loading 4. ankylosing spondylitis
The ANA's proposal for entry level for professional practice initiated debate among nurses. Which nurse would be at greatest risk if the ANA proposal were implemented?
1. An RN with an associate degree who has a head nurse position 2. An RN with a BSN who is a staff nurse 3. An RN with a diploma who works overtime 4. An RN with an associate degree who is currently in school
A patient is hospitalized for major depression. Of the medications listed, a nurse can expect to provide the patient with teaching about:
a. chlordiazepoxide (Librium) b. fluoxetine (Prozac) c. clozapine (Clozaril) d. tacrine (Cognex)