A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus.
The client is scheduled for an intravenous Pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?

“I haven’t had anything to eat or drink since last night.”

“The last time I voided it was painful.”

“I took my metformin before breakfast.”

“I took a laxative yesterday.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The client stating, “I haven’t had anything to eat or drink since last night” is not a cause for concern. This is because patients are often advised to fast before undergoing certain medical procedures or tests, including an intravenous pyelogram (IVP).

Fasting helps to ensure that the test results are accurate and not influenced by recent food or drink consumption.

Choice B rationale:

The client expressing that “The last time I voided it was painful” could be related to their recurrent kidney stones. Kidney stones can cause discomfort or pain during urination. However, this statement does not necessarily require additional data collection in the context of an IVP. The pain could be a symptom of the kidney stones rather than a contraindication for the IVP1.

Choice C rationale:

The statement “I took my metformin before breakfast” is of concern. Metformin is a medication used to treat type 2 diabetes. It is important for the nurse to collect additional data about this statement because metformin can potentially interact with the iodine-based contrast dye used in an IVP. This interaction can increase the risk of lactic acidosis, a serious and potentially lifethreatening condition. Therefore, patients are often advised to stop taking metformin before and for a couple of days after having an IVP12. Choice D rationale:

The client mentioning, “I took a laxative yesterday” is not necessarily alarming. Laxatives are often used before an IVP to clear the bowels, which helps to ensure clear images during the procedure. Therefore, this statement does not require additional data collection in the context of an IVP1.

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Correct Answer is B

Explanation

Choice A rationale:

Macrolides Macrolides, such as erythromycin and azithromycin, are a class of antibiotics that are typically used to treat infections caused by gram-positive bacteria and some respiratory tract infections. They are not the first line of treatment for urinary tract infections.

Choice B rationale:

Sulfonamides Sulfonamides, such as sulfamethoxazole, are often used to treat urinary tract infections. They work by stopping the growth of bacteria. Sulfonamides are often combined with other antibiotics like trimethoprim to increase their effectiveness. This combination is commonly known as co-trimoxazole.

Choice C rationale:

Carbapenems Carbapenems are a class of antibiotics that are usually reserved for serious infections caused by gram-negative bacteria. While they can be used to treat a variety of infections, they are not typically the first choice for urinary tract infections.

Choice D rationale:

Tetracyclines Tetracyclines are a group of broad-spectrum antibiotics that are effective against a wide range of bacteria. However, they are not typically used for urinary tract infections. They are more commonly used for infections such as acne, chlamydia, and Lyme disease.

Please consult with a healthcare professional for accurate information.

A. Fluconazole B. Tobramycin C. Ciprofloxacin D. Vancomycin

Correct Answer is C

Explanation

Choice A rationale:

Fluconazole Fluconazole is an antifungal medication used to treat and prevent fungal infections. It works by stopping the growth of certain types of fungus. However, it is not effective against bacterial infections such as anthrax.

Choice B rationale:

Tobramycin Tobramycin is an aminoglycoside antibiotic used to treat various types of bacterial infections, particularly Gramnegative infections. It works by stopping the growth of bacteria. However, it is not typically used to treat anthrax.

Choice C rationale:

Ciprofloxacin Ciprofloxacin is a fluoroquinolone antibiotic used for the treatment of a number of bacterial infections. This includes bone and joint infections, intra-abdominal infections, certain type of infectious diarrhea, respiratory tract infections, skin infections, typhoid fever, and urinary tract infections, among others. For the treatment of anthrax, ciprofloxacin is one of the antibiotics that could be used. It works by killing the anthrax or by stopping the anthrax from growing. When the anthrax can’t grow anymore, it dies.

Choice D rationale:

Vancomycin Vancomycin is an antibiotic used to treat a number of bacterial infections. It is recommended intravenously as a treatment for complicated skin infections, bloodstream infections, endocarditis, bone and joint infections, and meningitis caused by methicillin-resistant Staphylococcus aureus. However, it is not typically used to treat anthrax.

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A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous Pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?

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A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus.
The client is scheduled for an intravenous Pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?