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. Checking urine for ketones is more relevant in DKA, not HHNS, as HHNS typically does not involve ketone production.
B. When blood glucose drops significantly, insulin infusion rates are usually decreased to prevent hypoglycemia and a rapid fall in glucose levels.
C. Increasing the insulin drip could cause hypoglycemia, as the client’s glucose is already decreasing.
D. A regular meal can be given when the client’s glucose levels are more stable and controlled, but meal timing should be coordinated with insulin adjustments.

A. Hypoactive deep tendon reflexes. B. Tingling of the extremities C. Constipation D. Shortened QT intervals.

Correct Answer is B

Explanation

A. Hypocalcemia is associated with hyperactive, not hypoactive, deep tendon reflexes.
B. Tingling of the extremities, known as paresthesia, is a common symptom of hypocalcemia, which can occur after thyroidectomy due to potential damage or removal of the parathyroid glands.
C. Constipation is more commonly associated with hypercalcemia.
D. Hypocalcemia typically presents with a prolonged, not shortened, QT interval.

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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

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