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

Renal biopsy

Routine urinalysis

Renal scan

Creatinine clearance

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

A. Stable ECG rhythm B. Ability to verbalize causes and eﬀects of CHD/CAD C. Adequate relief of pain D. Compliance with prescribed bedrest

Correct Answer is C

Explanation

Choice A reason: While a stable ECG rhythm is important, it is not the immediate concern post-AMI.

Choice B reason: The ability to verbalize causes and eﬀects of CHD/CAD is an educational goal, not an immediate care priority.

Choice C reason: Adequate relief of pain is a priority to reduce stress on the heart and improve patient comfort.

Choice D reason: Compliance with prescribed bedrest is important but secondary to pain relief.

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

Nursing Test Bank

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