A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?

A sonogram of the kidney

ACT scan of the kidneys

A midstream urine for culture

An intravenous pyelogram for renal calculi

Answer and Explanation

The Correct Answer is C

A. A sonogram may help identify kidney abnormalities but is not the initial test for suspected infection.
B. A CT scan may be needed for further evaluation but is typically not the first test ordered.
C. A midstream urine culture is often the initial diagnostic test for suspected urinary tract infections or pyelonephritis, based on symptoms of chills, fever, and flank pain.
D. An intravenous pyelogram is used to detect structural abnormalities, such as renal calculi, but is not the initial test for infection symptoms.

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Correct Answer is A

Explanation

A. Type 2 diabetes typically develops due to insulin resistance in the body’s cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
B. Kidney issues related to water reabsorption are not the cause of Type 2 diabetes. This response is inaccurate.
C. Infections in the pancreas are not a primary cause of Type 2 diabetes; rather, they are more likely associated with pancreatitis or other conditions.
D. Type 1 diabetes involves autoimmune destruction of insulin-producing cells, but Type 2 diabetes does not typically involve this autoimmune process.

A. 10% B. 8.5% C. 6.3% D. 7.8%

Correct Answer is C

Explanation

A. An HbA1c of 10% is significantly elevated and suggests poor glycemic control.
B. An HbA1c of 8.5% is above the recommended target for most diabetic patients, indicating less than optimal control.
C. An HbA1c of 6.3% falls within the target range for well-managed diabetes, generally below 7%. This value indicates effective glucose control.
D. An HbA1c of 7.8% is slightly elevated and may require adjustments in diabetes management.

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A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Type 2 diabetes mellitus asks the nurse, "why did I develop diabetes?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

Correct Answer is C

Explanation

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