A nurse is examining a patient who reports burning on urination and a low-grade fever. On physical examination, the nurse notes constant right-sided costovertebral tenderness. Based on this presentation, what is most likely the cause of these signs and symptoms (S&S)?
Prostate cancer.
Ureteral lithiasis.
Primary syphilis.
Pyelonephritis.
The Correct Answer is D
A. Prostate cancer is unlikely to cause burning on urination or costovertebral tenderness; it usually presents with urinary obstruction symptoms or systemic effects.
B. Ureteral lithiasis may cause burning on urination but is more typically associated with flank pain rather than constant costovertebral tenderness.
C. Primary syphilis does not typically present with urinary symptoms or costovertebral tenderness.
D. Pyelonephritis, an infection of the kidney, commonly presents with burning on urination, fever, and costovertebral angle tenderness, indicating inflammation and infection of the renal pelvis and kidneys.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Atherosclerosis typically leads to vessel narrowing, but it does not specifically describe the formation of an aneurysm, which involves wall weakening and outpouching rather than just narrowing.
B. While a blood clot can be a complication of an AAA, it is not the primary cause of aneurysm formation. An AAA results from wall weakness rather than a clot.
C. Streptococcal bacteria are not related to the development of abdominal aortic aneurysms; aneurysms are associated with chronic conditions affecting the vascular wall, not bacterial infections.
D. Chronic hypertension contributes to the weakening of the arterial walls, leading to the formation of an aneurysm as the pressure causes the wall to bulge or outpouch. This correctly reflects the pathophysiology of AAA.
Correct Answer is C
Explanation
A. Troponin is a biomarker used to diagnose myocardial infarction (heart attack), not heart failure.
B. Calcium levels are important for overall metabolic function but are not specific for heart failure.
C. B-type natriuretic peptide (BNP) is elevated in heart failure, specifically in left heart failure, and helps confirm the diagnosis. BNP is a hormone released by the ventricles in response to increased pressure and volume.
D. C-reactive protein (CRP) is a marker of inflammation but does not specifically confirm a heart failure diagnosis.
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