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. Preparing only 16 units would mean administering just the regular insulin and not the NPH insulin, which is also prescribed.
B. The total number of insulin units is calculated by adding the units of regular insulin (16 units) and NPH insulin (26 units), resulting in 42 units to be administered together.
C. Preparing only 26 units would mean administering only the NPH insulin and not the regular insulin, which is not appropriate.
D. Preparing 32 units is incorrect as it does not accurately reflect the sum of both insulin types prescribed.

A. Weight B. Heart rate C. Urine output D. BP

Correct Answer is B

Explanation

A. Weight may fluctuate but is not a direct indication of immediate fluid resuscitation adequacy.
B. A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
C. Adequate fluid replacement is indicated by an increase, not a decrease, in urine output.
D. Blood pressure should stabilize or increase with fluid replacement, rather than decrease.

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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

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Correct Answer is B

Explanation

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Explanation

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