A patient reports severe flank pain. The urinalysis reveals the presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?
Intravenous pyelogram
Cystoscopy
Mid-stream urinalysis
Bladder scan
The Correct Answer is A
A. Intravenous pyelogram: IVP is a specialized X-ray with contrast dye that visualizes the kidneys, ureters, and bladder, helping detect kidney stones, obstructions, or abnormalities. Calcium phosphate crystals suggest nephrolithiasis (kidney stones).
B. Cystoscopy examines the bladder and urethra, but it does not visualize the kidneys or ureters, where stones typically originate.
C. Mid-stream urinalysis alone does not confirm kidney stones, though it may show hematuria, infection, or crystal types.
D. Bladder scan assesses urinary retention or post-void residual volume, not kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.
B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.
C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.
D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.
E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.
Correct Answer is B
Explanation
A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.
B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.
C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.
D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.
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