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.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.

Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.

Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.

Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.

A. To slow the response of the ventricles to the fast atrial impulses B. To reduce the risk of stroke in clients who have atrial fibrillation C. To convert atrial fibrillation to sinus rhythm D. To dissolve clots in the bloodstream

Correct Answer is B

Explanation

Choice A reason: Dabigatran does not specifically slow the ventricular response; medications like beta-blockers are typically used for rate control in atrial fibrillation.

Choice B reason: Dabigatran is an anticoagulant that reduces the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation by preventing clot formation.

Choice C reason: Dabigatran does not convert atrial fibrillation to sinus rhythm; that would be the role of antiarrhythmic drugs or procedures like cardioversion.

Choice D reason: While dabigatran can prevent clots from forming, it is not used to dissolve existing clots; thrombolytic agents are used for that purpose.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is going to have an intravenous pyelogram (IVP) using a contrast medium. Which of the following assessments by the nurse are of the highest priority?

Correct Answer is C

Explanation

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

Correct Answer is B

Explanation

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