A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

"The last time I voided it was painful and red-tinged.”.

"My period ended 2 days ago.”.

"I drink at least 2 quarts of fluid every day.”.

"I don't eat shellfish because it gives me hives.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.

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Correct Answer is A

Explanation

Choice A rationale:
Dysmenorrhea (painful periods) that is unresponsive to NSAIDs is a common symptom of endometriosis.
Choice B rationale:
An atypical Papanicolaou smear is not directly related to endometriosis.
Choice C rationale:
A history of pelvic inflammatory disease (PID) can increase the risk of endometriosis, but it’s not a symptom of the condition.
Choice D rationale:
Abdominal bloating before menses can be a symptom of many conditions, not just endometriosis.

A. "An MRI scan is not distorted by movement, so you do not have to lie still.”. B. "The MRI contrast dye contains iodine and can cause your skin to itch.”. C. "An MRI scan is very noisy, and you will be allowed to wear earplugs while in the scanner.”. D. "An MRI scan is a short procedure and should take no longer than 30 minutes.”.

Correct Answer is C

Explanation

Choice A rationale:
This statement is incorrect. Movement can distort the image quality in an MRI scan, so patients are usually asked to lie still.
Choice B rationale:
This statement is incorrect. MRI contrast dye does not contain iodine, and it is less likely to cause an allergic reaction.
Choice C rationale:
This statement is correct. MRI scans can be very noisy due to the magnetic fields changing during the scan. Patients are often offered earplugs or headphones to reduce the noise.
Choice D rationale:
This statement is incorrect. The length of an MRI scan can vary, but it often takes longer than 30 minutes.

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A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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