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?

"The last time I voided it was painful and red-tinged.”.

"My period ended 2 days ago.”.

"I drink at least 2 quarts of fluid every day.”.

"I don't eat shellfish because it gives me hives.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.

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Correct Answer is D

Explanation

Choice A rationale:
A WBC count of 5,000/mm³ is within the normal range (4,500 to 11,000 cells/mm³) and is not a priority.
Choice B rationale:
A platelet count of 150,000/mm³ is within the normal range (150,000 to 450,000/mm³) and is not a priority.
Choice C rationale:
A positive Western blot test confirms HIV infection, but it is not a priority in this case.
Choice D rationale:
A CD4-T-cell count of 180 cells/mm³ is below the normal range (500 to 1,500 cells/mm³), indicating severe immune system damage in a client with HIV. This is the nurse’s priority.

A. Halitosis. B. Gingivitis. C. Candidiasis. D. Xerostomia.

Correct Answer is C

Explanation

Choice A rationale:
Halitosis (bad breath) is not typically associated with a decreased CD4-T-cell count.
Choice B rationale:
Gingivitis (gum inflammation) is not directly related to a decreased CD4-T-cell count.
Choice C rationale:
Candidiasis (a fungal infection) is common in individuals with AIDS due to their weakened immune system.
Choice D rationale:
Xerostomia (dry mouth) is not typically associated with a decreased CD4-T-cell count.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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