A patient has a kidney stone lodged in the ureter. He questions why it must be removed. What response is most appropriate?
a. "If the stone is not promptly removed, you will continue to have blood in your urine."
b. "If the stone is not removed, it could block urine flow from the kidney and cause swelling within the kidney."
c. "Keeping the stone in your body may re-sult in a condition called glomeruloneph-ritis."
d. "You may experience scarring of the renal structures and a condition known as nephrotic syndrome may result."
B
An obstructed ureter will cause urinary reflux into the renal pelvis, causing hydronephrosis and, ultimately, destruction of the kidney.
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A patient with a baseline creatinine of 2.3 mg/dL is scheduled for a CT scan of the abdomen with contrast. In preparing this patient for the procedure, the nurse anticipates which of the following orders?
A) Monitor the patient's electrolyte values every hour before the procedure B) Preprocedure hydration and administration of acetylcysteine C) Hemodialysis immediately prior to the CT scan D) Obtain a creatinine clearance by collecting a 24-hour urine specimen
You are caring for a woman in labor. Your assessment of the fetal heart rate reveals a heart rate of 145 with moderate variability. There are no signs of decelerations or accelerations. What is your priority action?
a. Do nothing, since this is normal. b. Contact the physician immediately. c. Begin oxygen at 8 to 10 liters/minute. d. Change the maternal position immediately.
A nurse is preparing an educational program focusing on various types of strokes. Which of the following should be included in a discussion of ischemic strokes? Select all that apply
1. Atherosclerotic thrombotic 2. Cardioembolic 3. Lacunar 4. Subarachnoid hemorrhagic 5. Intracerebral hemorrhagic
A definition of health policy includes which of the following elements?
a. Funding for public education b. Appropriation of funds for roadwork c. Selection of congressional members of committees d. Public policy made to support health-related goals