Which assessment finding is most important to report to the health care provider regarding a patient who has had left-sided extracorporeal shock wave lithotripsy?

Hematuria

Oliguria

Ecchymosis in left flank

left flank discomfort

Answer and Explanation

The Correct Answer is B

A. Hematuria: The presence of blood in the urine is expected for the first few days after extracorporeal shock wave lithotripsy. It results from trauma to the urinary tract and usually resolves on its own, so it does not require urgent reporting unless it becomes severe or prolonged.

B. Oliguria: Decreased urine output is the most concerning finding because it may indicate obstruction from stone fragments or acute kidney injury. This complication can quickly compromise renal function and requires immediate evaluation by the healthcare provider.

C. Ecchymosis in left flank: Bruising around the flank is a common side effect of the shock waves used during lithotripsy. While it may be uncomfortable, it is not considered dangerous and does not require urgent intervention.

D. Left flank discomfort: Pain is expected after the procedure due to both the passage of stone fragments and localized tissue trauma. Analgesics are typically used to manage this symptom, and it is not considered a critical finding to report.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "You should warm the dialysate in a microwave oven before instillation": Dialysate should be warmed to body temperature before infusion, but a microwave is unsafe because it can heat unevenly and cause burns or discomfort.

B. "You should anticipate pain the first week during the inflow of dialysate": Mild abdominal pain or discomfort during dialysate inflow is common during the initial week as the peritoneum adjusts. This usually improves with time, and reassuring the client about this expected symptom helps with adherence to treatment.

C. "You should expect redness at the catheter exit site": Redness at the catheter exit site suggests infection and is not an expected finding. The site should remain clean and free from signs of inflammation, and any redness, drainage, or swelling must be reported promptly.

D. "You should avoid foods high in fiber": Fiber is not contraindicated in peritoneal dialysis. In fact, constipation should be prevented because it can interfere with dialysate flow, so a diet that includes adequate fiber is encouraged unless restricted for another reason.

A. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood supply to the kidneys” B. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and instill dye to outline your bladder on x-ray" C. "Your doctor will inject a radioactive solution into a vein in your arm, then the isotope in your kidneys and bladder will be visible on a scanner “ D. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidneys."

Correct Answer is B

Explanation

A. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood supply to the kidneys": This describes a renal arteriogram, which evaluates renal blood vessels, not a cystoscopy with cystogram.

B. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and instill dye to outline your bladder on x-ray": The cystoscope allows direct visualization of the bladder, and dye instillation helps outline the bladder on imaging to identify abnormalities such as tumors, stones, or sources of bleeding.

C. "Your doctor will inject a radioactive solution into a vein in your arm, then the isotope in your kidneys and bladder will be visible on a scanner": This describes a renal nuclear scan, which evaluates kidney function and structure. It does not involve direct visualization of the bladder or instillation of dye.

D. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidneys.": This describes a cystoscopy with retrograde pyelogram, which visualizes the ureters and renal pelvis. While it involves the bladder and catheters, it is not the same as a cystoscopy with cystogram.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which assessment finding is most important to report to the health care provider regarding a patient who has had left-sided extracorporeal shock wave lithotripsy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A patient passing bloody urine has scheduled a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is caring for a client in the nephrology unit. Exhibits For each client finding below, indicate whether the finding is consistent with complications following hemodialysis treatment or a normal symptom of hemodialysis. Each finding may be associated with more than one condition.

Which action will the nurse include in the plan of care to maintain the patency of a patient's left arm arteriovenous fistula?

A nurse is caring for a client on a medical unit. Exhibits Drag the words from the choices below to fill in each blank in the following sentence Essential infection control practices in peritoneal dialysis includedropdown, dropdownanddropdown.

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following nursing interventions is appropriate?

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?