The most reliable indicator of neurologic status is which of the following?

Level of consciousness (LOC)

Temperature

Blood pressure

Pulse rate

Answer and Explanation

The Correct Answer is A

Choice A reason: Level of consciousness is the most basic and sensitive indicator of altered brain function and is considered the most reliable indicator of neurologic status.

Choice B reason: Temperature is not a direct indicator of neurologic status and does not change as rapidly in response to neurologic events.

Choice C reason: Blood pressure can be aﬀected by neurologic changes, but it is not as sensitive or specific as the level of consciousness.

Choice D reason: Pulse rate is not a direct indicator of neurologic status and can be inﬂuenced by a variety of non- neurologic factors.

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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.

A. "The last time I voided, it was painful and red-tinged." B. "My period ended 2 days ago." C. "I drink at least 2 quarts of ﬂuid every day." D. "I don't eat shellfish because it gives me hives."

Correct Answer is D

Explanation

Choice A reason: Painful and red-tinged urination could be related to kidney stones but is not directly relevant to the preparation for an intravenous pyelogram.

Choice B reason: The end of the menstrual period is not typically relevant to the preparation for an intravenous pyelogram.

Choice C reason: Drinking ﬂuids is generally encouraged but does not need to be reported unless it is restricted before the procedure.

Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.

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The most reliable indicator of neurologic status is which of the following?

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Naxlex Comprehensive Predictor Exams

What diagnostic test can be used to determine GFR as well as glomerular damage?

Correct Answer is A

Explanation

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Correct Answer is D

Explanation

Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

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