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 B
Explanation
A. "I can prepare refried beans for supper." Refried beans are high in fiber and would not be appropriate for a low-fiber diet.
B. "I should choose white rice as a side dish." White rice is low in fiber and easily digestible, making it a good choice for a low-fiber diet.
C. "A fresh pear would be a good snack option." Fresh pears contain high amounts of fiber, particularly in the skin, making them unsuitable for a low-fiber diet.
D. "Bran cereal would be a good breakfast choice." Bran cereal is very high in fiber and would not be appropriate for a low-fiber diet.
Correct Answer is A
Explanation
A. "Take the medication with a full glass of water." Docusate is a stool softener that works best when taken with plenty of fluids.
B. "Expect abdominal pain with this medication." Docusate should not cause abdominal pain; if it does, it should be discontinued.
C. "Take this medication on an empty stomach." Docusate can be taken with or without food.
D. "Do not take this medication before bedtime." It is often recommended before bedtime to work overnight.
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