A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of the following areas of the renal system do most renal calculi begin forming?

Bladder

Renal papilla

Ureter

Urethra

Answer and Explanation

The Correct Answer is B

Choice A reason: The bladder is not where renal calculi typically begin to form; it is where they may end up if they travel down from the kidneys.

Choice B reason: Renal calculi commonly begin forming at the renal papilla, which is part of the kidney where urine collects before it flows into the ureter.

Choice C reason: The ureter is not the typical starting point for the formation of renal calculi, though stones can travel through it.

Choice D reason: The urethra is not a common site for the formation of renal calculi; it is the duct through which urine is discharged.

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Correct Answer is B

Explanation

Choice A reason: The end of a menstrual period is not relevant to the intravenous pyelogram procedure.

Choice B reason: An allergy to shellfish is important to report as the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.

Choice C reason: Drinking fluids is generally encouraged to prevent kidney stones and is not a concern for the provider.

Choice D reason: Painful and red-tinged urination is a symptom of kidney stones but does not need to be reported unless it is a new or worsening symptom.

A. "I must wash my hands every time before I connect the tubing to the catheter in my stomach." B. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity." C. "I will weigh myself daily and keep track of my weight in my dialysis record." D. "I will complete the instillation of fluid once a day at bedtime." E. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.

Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.

Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.

Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.

Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.

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A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of the following areas of the renal system do most renal calculi begin forming?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

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