A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?
Complete blood count (CBC).
Urinalysis with culture.
Chest X-ray.
CT scan of the abdomen and pelvis.
The Correct Answer is B
Choice A rationale
A complete blood count (CBC) can provide information about the client's overall health and presence of infection, but it does not specifically address the potential underlying cause related to the urinary system.
Choice B rationale
Urinalysis with culture is the most relevant diagnostic test for evaluating the underlying cause of fever, chills, and severe left costovertebral pain. These symptoms suggest a possible urinary tract infection or pyelonephritis, which can be confirmed with urinalysis and culture.
Choice C rationale
A chest X-ray would not be the priority in this scenario as the symptoms suggest a urinary tract issue rather than a respiratory problem. A chest X-ray is more useful for assessing lung conditions.
Choice D rationale
A CT scan of the abdomen and pelvis can be helpful in evaluating the extent of a urinary tract infection or identifying other causes of abdominal pain, but it is typically not the first-line diagnostic test. Urinalysis with culture is more specific for identifying urinary infections. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering insulin when the breakfast tray arrives may not provide sufficient time for the insulin to take effect before the client begins eating, potentially leading to hyperglycemia.
Choice B rationale
Administering insulin at 07: is too early and may result in hypoglycemia before the client eats breakfast.
Choice C rationale
Administering insulin at 07: allows sufficient time for the insulin to take effect before the client eats breakfast, helping to maintain appropriate blood glucose levels.
Choice D rationale
Administering insulin 30 minutes after breakfast is too late and could result in hyperglycemia since the client would have already consumed carbohydrates.
Correct Answer is ["A","B"]
Explanation
Choice A rationale: A blood glucose level of 55 mg/dL is critically low, indicating hypoglycemia. Immediate intervention is required to prevent potential complications such as loss of consciousness, seizures, or even death. Hypoglycemia in individuals with type 1 diabetes can be life-threatening and requires prompt treatment with fast-acting carbohydrates to restore normal blood glucose levels.
Choice B rationale: The client's report of shakiness, hunger, cool skin, and diaphoresis are classic symptoms of hypoglycemia. These symptoms correlate with the dangerously low blood glucose level and indicate an urgent need for intervention. Addressing these symptoms quickly can prevent further deterioration of the client's condition.
Choice C rationale: While the slight increase in temperature to 37.8°C (100°F) is noteworthy, it does not necessitate immediate intervention compared to the hypoglycemic event. Monitoring for any signs of infection or other issues is important, but it is not the highest priority in this scenario.
Choice D rationale: An oxygen saturation of 97% on room air is within normal limits and does not require immediate follow-up. There are no signs of respiratory distress or hypoxia that would necessitate urgent intervention in this case.
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