A patient has been admitted to the renal unit for lithotripsy. After the procedure you instruct the patient on straining their urine to collect stone fragments for analysis
The results of the stone analysis show that the stones are made of urate. What does this finding indicate?
A) A disturbance of phosphoric acid metabolism
B) A disturbance in uric acid metabolism
C) A disorder of calcium metabolism
D) A disorder of oxalate metabolism
Ans: B
Feedback: Calcium oxalate or calcium phosphate stones usually indicate disorders of oxalate or calcium metabolism, whereas urate stones suggest a disturbance in uric acid metabolism. These findings do not indicate a disturbance of phosphoric acid metabolism, or a disorder of calcium or oxalate metabolism.
You might also like to view...
Lazarus and Folkman's Theory of Stress and Coping has been used in nursing research to correlate the relationship between stress and anxiety in primary caregivers of patients with dementia. This is an example of which of the following?
A) Conceptual model B) Framework C) Shared theory D) Grounded theory
Which of the following nursing interventions should the nurse perform to prevent drying of the oral mucous membranes and lips in a dying client?
A) Place the client in a cool temperature. B) Provide water to the client at regular intervals. C) Provide the client with absorbent pads. D) Provide oral care and ice chips with petroleum jelly.
The nurse reminds a visitor to a patient who has an internal radiation implant to (select all that apply):
1. avoid visitation if you are pregnant. 2. take off all metals, such as your watch and belt. 3. limit visitation time. 4. wear a protective lead apron. 5. stay at least 6 feet away from bedside.
Which of the following interventions would be most effective in helping an older adult living alone to manage his medication regimen?
A) Ensure that a responsible person pre-pours the medication for the week into medication containers marked with the name of each day. B) Ask a neighbor or family member to monitor the client's medications. C) Review dosages and times with the client and have him repeat the information. D) Create a medication administration record so that the client can check off his medications as he takes them each day.