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. A random blood sugar of 150 mg/dL is within an acceptable range for someone with diabetes, though it may suggest some fluctuation in blood glucose levels. It does not definitively indicate poor control of diabetes.
B. There are multiple methods to determine if diabetes is under tight control, including blood glucose monitoring and glycosylated hemoglobin (HbA1c) testing.
C. A reduced glycosylated hemoglobin level would indicate that blood glucose levels have been well-controlled over the past few months, suggesting that the patient is in tight control.
D. An elevated glycosylated hemoglobin level indicates that the patient's average blood glucose levels have been higher than recommended over the past 2-3 months, suggesting poor control of diabetes despite the patient's reported blood sugar levels. HbA1c is a key indicator of long-term glucose control.
Correct Answer is C
Explanation
A. A room within view of the nurses' station does not provide the necessary isolation for a client with active tuberculosis. Tuberculosis is a contagious airborne disease, and isolation in a room with appropriate ventilation is essential.
B. A room with another nonsurgical client is not appropriate for a patient with active tuberculosis, as it could lead to the spread of the infection to another patient. Isolation in a room designed to prevent airborne transmission is necessary.
C. A room with air exhaust directly to the outdoor environment is the most appropriate choice. Tuberculosis is transmitted through airborne particles, so the client should be placed in a negative pressure room with exhaust ventilation that directs the air outside to prevent the spread of the infection.
D. A room in the ICU is not necessary unless the client requires intensive care. The primary concern is ensuring appropriate isolation, which can be achieved in a standard room with the proper ventilation, rather than an ICU setting.
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