A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of the following areas of the renal system do most renal calculi begin forming?
Bladder
Renal papilla
Ureter
Urethra
The Correct Answer is B
Choice A reason: The bladder is not where renal calculi typically begin to form; it is where they may end up if they travel down from the kidneys.
Choice B reason: Renal calculi commonly begin forming at the renal papilla, which is part of the kidney where urine collects before it flows into the ureter.
Choice C reason: The ureter is not the typical starting point for the formation of renal calculi, though stones can travel through it.
Choice D reason: The urethra is not a common site for the formation of renal calculi; it is the duct through which urine is discharged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.
Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.
Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.
Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.
Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.
Correct Answer is C
Explanation
The correct answer is choice C: "You will need to avoid rigorous exercise during the test."
Rationale:
- Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
- Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
- Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
- Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.
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