A 47-year-old client is being seen at the clinic after being seen in the emergency room last week for abdominal pain. While the client was in the emergency room, an ultrasound was performed and reveals a 6 mm obstructive renal calculi in the left ureter. While the nurse is collecting data, the client states, "My pain is still sharp, radiates to my groin and hurting more every time I try to move at work. When I urinate, it looks like there is blood in it too. I can't take this much longer. A random urinalysis is collected today which reveals 2+ hematuria and is positive for leukocytes. The nurse suspects that the client is experiencing which health alteration?
Select one:

Glomerulonephritis.

Hydronephrosis.

Inguinal hernia.

Posterior Urethral Valvitis.

Answer and Explanation

The Correct Answer is B

A. Glomerulonephritis usually presents with symptoms such as facial edema, hypertension, and dark (cola-colored) urine. It is not typically associated with sharp, radiating pain or known obstructive renal calculi.
B. Hydronephrosis is the correct Answer. It occurs when a urinary tract obstruction (such as a 6 mm renal calculus) leads to urine buildup and swelling in the kidney. The client’s sharp, radiating pain, hematuria, and presence of leukocytes in the urine strongly support this diagnosis.
C. Inguinal hernia may cause groin pain or bulging, but does not explain hematuria, leukocyturia, or the findings of an obstructive renal stone.
D. Posterior urethral valvitis is a rare congenital condition typically seen in male infants and young boys, not in a 47-year-old adult male, making it an unlikely diagnosis.

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Correct Answer is ["30"]

Explanation

Urine output less than 30 mL/hour for more than 2 consecutive hours is a sign of decreased kidney perfusion or possible renal impairment. It should be promptly reported to the provider to prevent further complications such as acute kidney injury. This threshold is a standard indicator used in clinical settings to monitor renal function and fluid balance.

A. Regular intermittent bubbling when the end of the tube is submerged in water B. No coughing or choking when the tube was inserted C. X-Ray confirmation D. Hearing a rush of air in the stomach when 1mL of air is injected into the tube

Correct Answer is C

Explanation

A. Bubbling when submerged in water is not a reliable method and may indicate tracheal placement, which is unsafe.
B. Lack of coughing or choking does not confirm safe placement, as patients can silently aspirate or tolerate malpositioned tubes.
C. The gold standard for confirming NGT placement is X-ray imaging, especially before initiating feedings, to ensure the tube is properly placed in the stomach and not the lungs.
D. Hearing air over the stomach is an older technique that is not considered safe or accurate for initial confirmation, as sounds can be misleading.

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Naxlex Comprehensive Predictor Exams

Urine output less than how many ml/hour must be reported to The Provider:

Correct Answer is ["30"]

Explanation

After a nasogastric tube (NGT) is inserted for tube feedings, the test to confirm placement is ate to be used to treat this imbalance? Select one:

Correct Answer is C

Explanation

Which person is responsible for verifying that the consent form is signed and that the surgical site is clearly marked? Select one:

Hypoglycemia is most likely to occur with insulin during which phase of action?

Norovirus is the most common cause of what:

The patient who has cystitis has been told to drink at least 30 ml for each kilogram of body weight. Her weight is 154 pounds. The nurse instructs the patient to drink

The nurse cares for a client who has just returned from abdominal surgery. The nurse has completed the focused GI assessment and does not hear any bowel sounds when auscultating the client's abdomen. What is the nurse's best action?

A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

A family caregiver expresses feeling overwhelmed and exhausted. What is the nurse's best action? Select one: