A patient reports severe flank pain. The urinalysis reveals the presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?
Intravenous pyelogram
Cystoscopy
Mid-stream urinalysis
Bladder scan
The Correct Answer is A
A. Intravenous pyelogram: IVP is a specialized X-ray with contrast dye that visualizes the kidneys, ureters, and bladder, helping detect kidney stones, obstructions, or abnormalities. Calcium phosphate crystals suggest nephrolithiasis (kidney stones).
B. Cystoscopy examines the bladder and urethra, but it does not visualize the kidneys or ureters, where stones typically originate.
C. Mid-stream urinalysis alone does not confirm kidney stones, though it may show hematuria, infection, or crystal types.
D. Bladder scan assesses urinary retention or post-void residual volume, not kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Abdominal distention. Distention is more indicative of a paralytic ileus or gas buildup, not return of peristalsis.
B. Request for a cup of tea and some toast. While appetite may return as peristalsis resumes, it is not a definitive sign.
C. Hypoactive bowel sounds in two quadrants. Hypoactive sounds suggest minimal bowel activity, not full peristalsis.
D. Passage of flatus. Passing gas is a key sign that peristalsis is returning postoperatively.
Correct Answer is B
Explanation
A. Rye. Rye contains gluten, which must be avoided in celiac disease.
B. Rice. Rice is gluten-free and safe for individuals with celiac disease.
C. Barley. Barley contains gluten and should be avoided.
D. Wheat. Wheat contains gluten and is a primary trigger for celiac symptoms.
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