A client is admitted with possible renal calculi. The client asks, "Are there are any tests that can be performed to show the doctor if there are any kidney stones?" The nurse would be correct in responding:
1. "The intravenous pyelogram will allow the healthcare provider to visualize kidney stones.".
2. "A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones.".
3. "A routine urinalysis will allow the healthcare provider to visualize kidney stones.".
4. "A kidney biopsy will allow the healthcare provider to visualize kidney stones.".
1
Rationale 1: The intravenous pyelogram is a radiologic examination that allows visualization of renal calculi in the kidneys, ureters, and bladder.
Rationale 2: A 24-hour urine specimen would not aid in visualization of renal calculi. The 24-hour urine specimen could be used to evaluate such things as creatinine levels in the urine.
Rationale 3: A routine urinalysis would not aid in visualization of renal calculi. The routine urinalysis exams such things as specific gravity, pH, presence of bacteria, and several other factors.
Rationale 4: A kidney biopsy would not aid in visualization of renal calculi. A kidney biopsy would be performed to determine the presence of kidney diseases such as cancer.
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