A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?

Complete blood count (CBC).

Urinalysis with culture.

Chest X-ray.

CT scan of the abdomen and pelvis.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A complete blood count (CBC) can provide information about the client's overall health and presence of infection, but it does not specifically address the potential underlying cause related to the urinary system.

Choice B rationale

Urinalysis with culture is the most relevant diagnostic test for evaluating the underlying cause of fever, chills, and severe left costovertebral pain. These symptoms suggest a possible urinary tract infection or pyelonephritis, which can be confirmed with urinalysis and culture.

Choice C rationale

A chest X-ray would not be the priority in this scenario as the symptoms suggest a urinary tract issue rather than a respiratory problem. A chest X-ray is more useful for assessing lung conditions.

Choice D rationale

A CT scan of the abdomen and pelvis can be helpful in evaluating the extent of a urinary tract infection or identifying other causes of abdominal pain, but it is typically not the first-line diagnostic test. Urinalysis with culture is more specific for identifying urinary infections. .

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Correct Answer is A

Explanation

Choice A rationale

A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.

Choice B rationale

The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.

Choice C rationale

The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.

Choice D rationale

The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum. .

A. Infuse 10 percent dextrose and water if the solution runs out. B. Shake the TPN bag with fat emulsion if precipitate is present. C. Maintain TPN infusion rate when behind schedule. D. Keep the TPN refrigerated when not in use.

Correct Answer is ["A","D"]

Explanation

Choice A rationale

Infusing 10 percent dextrose and water prevents hypoglycemia if TPN is temporarily unavailable. This is a crucial step in maintaining the patient's blood sugar levels.

Choice B rationale

Shaking the TPN bag with fat emulsion can cause the emulsion to break, leading to potential complications. Fat emulsions should be mixed gently.

Choice C rationale

Maintaining the TPN infusion rate when behind schedule is incorrect as it can lead to rapid infusion and complications such as hyperglycemia and fluid overload.

Choice D rationale

Keeping the TPN refrigerated when not in use helps to maintain its stability and prevent bacterial contamination. Proper storage is essential for patient safety. .

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A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy.The nurse is aware the stoma will be in what area of the client's abdomen?

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Correct Answer is ["A","D"]

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