A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?

A sonogram of the kidney

ACT scan of the kidneys

A midstream urine for culture

An intravenous pyelogram for renal calculi

Answer and Explanation

The Correct Answer is C

A. A sonogram may help identify kidney abnormalities but is not the initial test for suspected infection.
B. A CT scan may be needed for further evaluation but is typically not the first test ordered.
C. A midstream urine culture is often the initial diagnostic test for suspected urinary tract infections or pyelonephritis, based on symptoms of chills, fever, and flank pain.
D. An intravenous pyelogram is used to detect structural abnormalities, such as renal calculi, but is not the initial test for infection symptoms.

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Correct Answer is B

Explanation

A. Starting IV 0.9% sodium chloride may be necessary for hydration but is not a priority action before administering Kayexalate.
B. Assessing for bowel sounds is essential because Kayexalate works by exchanging potassium for sodium in the intestine, and bowel motility must be adequate to ensure the medication is effective and to prevent complications such as bowel obstruction.
C. Starting oxygen is unnecessary unless the patient exhibits signs of respiratory distress, which is not indicated here.
D. While checking potassium levels is important, it is often done as part of the initial assessment and does not need to be repeated immediately before administering Kayexalate if levels were already assessed and are high.

A. PaO2 below 70 mm Hg B. pH below 7.35 C. PaCO2 above 45 mm Hg D. HCO3 above 26 mEq/L

Correct Answer is B

Explanation

A. PaO2 below 70 mm Hg may indicate hypoxemia, not necessarily metabolic acidosis.
B. A pH below 7.35 is indicative of acidosis, supporting a diagnosis of metabolic acidosis if other findings align.
C. An elevated PaCO2 suggests respiratory acidosis, not metabolic acidosis.
D. HCO3 above 26 mEq/L suggests metabolic alkalosis; in metabolic acidosis, HCO3 is typically low.

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A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?

Correct Answer is B

Explanation

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?

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A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?