Surgical renal calculi (stone) removal is indicated for:
Stone too small to pass
Mild, intermittent pain for 1 day
Obstruction of urine flow
Small stone without evidence of size increase
The Correct Answer is C
A. Stones that are too small to pass typically do not require surgical removal. Smaller stones are usually managed conservatively with hydration and pain management.
B. Mild, intermittent pain for 1 day does not usually indicate the need for surgery. Conservative management is often appropriate for such cases.
C. Obstruction of urine flow is a primary indication for surgical removal of renal stones. If a stone is blocking the urinary tract, it can cause severe pain, infection, or kidney damage, making surgical intervention necessary.
D. A small stone without evidence of size increase may not require surgery unless it is causing symptoms or complications. Most small stones pass naturally over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Intention tremors are typically associated with neurological conditions, such as Parkinson's disease, rather than Addison's disease.
B. Hirsutism, or excessive hair growth, is often seen in conditions involving excess androgen production, such as polycystic ovary syndrome (PCOS), but not typically in Addison's disease.
C. Purple striations, or stretch marks, are commonly seen in Cushing's syndrome due to excess cortisol production, not Addison's disease.
D. Hyperpigmentation is a hallmark symptom of Addison's disease. It occurs due to increased production of melanocyte-stimulating hormone (MSH), which is a byproduct of the overproduction of adrenocorticotropic hormone (ACTH) in response to adrenal insufficiency.
Correct Answer is B
Explanation
A. Bacteria are not typically detected by a guaiac stool test. Bacterial infections may be diagnosed with a stool culture or other microbiological tests.
B. The guaiac stool test is used to detect hidden (occult) blood in the stool, which can be a sign of gastrointestinal bleeding, such as from ulcers, polyps, or cancer.
C. Steatorrhea refers to the presence of excess fat in the stool, which can be detected by other tests, such as fecal fat analysis, not a guaiac test.
D. Parasites are usually detected through stool microscopy or stool ova and parasite (O&P) tests, not a guaiac test.
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