Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?

flat plate

Intravenous pyelogram

ultrasonography

renal scan

Answer and Explanation

The Correct Answer is A

A. Flat plate: A flat plate of the abdomen (plain X-ray) is safe and does not involve contrast dye.

B. Intravenous pyelogram: This procedure involves the use of contrast dye, which is nephrotoxic and contraindicated in patients with renal insufficiency or diabetes mellitus due to the risk of worsening kidney function.

C. Ultrasonography: Ultrasounds do not involve dye or radiation and are safe for patients with renal insufficiency or diabetes.

D. Renal scan: While renal scans can involve radioactive material, they are generally safer for assessing kidney function in these patients compared to an IV pyelogram.

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Correct Answer is A

Explanation

A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.

B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.

C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.

D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.

A. The antibiotic protocol is completed. B. Potassium levels are normal. C. Dialysis starts. D. Blood pressure drops to normal levels.

Correct Answer is D

Explanation

A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.

B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.

C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.

D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.

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Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active. He asks, "What has to happen for me to get off of bed rest?" What is the most accurate statement by the nurse?

Correct Answer is D

Explanation

The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)

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A nurse is caring for a patient with an atrioventricular (AV) fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula. What action should the nurse implement?

A nurse is caring for a patient with acute glomerulonephritis. What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?

A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)