Before beginning the physical assessment of the renal system, the nurse should ask the patient to do which of the following?
Take several deep breaths
Drink several glasses of water
Empty the bladder
Provide a urine sample
The Correct Answer is C
Choice A reason: Taking several deep breaths is not specifically related to the preparation for a renal system physical assessment. Deep breaths are more commonly associated with lung examination or to help the patient relax.
Choice B reason: Drinking several glasses of water before a renal assessment could potentially fill the bladder, which might interfere with palpation of the kidneys and make it uncomfortable for the patient.
Choice C reason: Emptying the bladder is the correct action before a renal system physical assessment. It allows for better palpation of the kidneys and other structures without the discomfort of a full bladder. It also prevents the possibility of the patient urinating involuntarily during the examination due to a full bladder.
Choice D reason: Providing a urine sample might be part of the overall renal assessment, but it is not necessary to do so immediately before the physical examination of the renal system. The sample can be collected at any time before or after the physical examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cleaning with an alcohol-based solution is not recommended as it can be irritating and does not prevent infection.
Choice B reason: Routine irrigation of the catheter is not recommended as it can introduce infection.
Choice C reason: Replacing the catheter routinely every three days is not recommended and can increase the risk of infection.
Choice D reason: Ensuring the catheter tubing is free of kinks, twisting, and dependent loops is important to maintain urine flow and prevent infection.
Correct Answer is A
Explanation
Choice A reason : A renal biopsy is an invasive procedure that can directly assess the extent of glomerular damage and is considered the gold standard for diagnosing the cause of abnormal GFR.
Choice B reason : Routine urinalysis can detect abnormalities in the urine but cannot quantify GFR or directly assess glomerular damage.
Choice C reason : A renal scan can evaluate renal perfusion and function but is less specific for glomerular damage compared to a biopsy.
Choice D reason : Creatinine clearance can estimate GFR but does not provide information on the specific cause of glomerular damage.
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