Questions 47

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ATILPN Med Surg Urinary Exam Questions

Extract:


Question 1 of 5

Which urine test provides the most accurate measurement of renal function?

Correct Answer: B

Rationale: Serum creatinine levels directly reflect the kidney's filtration ability, making it the most accurate measure of renal function.

Question 2 of 5

Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?

Correct Answer: B

Rationale: Intravenous pyelogram uses contrast dye, which is nephrotoxic and contraindicated in renal insufficiency or diabetes due to risk of worsening kidney function.

Question 3 of 5

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the healthcare provider will order?

Correct Answer: D

Rationale: Ciprofloxacin is a common antibiotic for UTIs, appropriate for symptoms and lab findings indicating infection.

Question 4 of 5

A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active. He asks, 'What has to happen for me to get off of bed rest?' What is the most accurate statement by the nurse?

Correct Answer: D

Rationale: Hypertension is a common complication in glomerulonephritis, and activity restrictions are lifted when blood pressure stabilizes.

Question 5 of 5

A nurse is caring for a patient with acute glomerulonephritis. What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?

Correct Answer: D

Rationale: Inflammation in glomerulonephritis causes fluid retention, leading to moderate to high blood pressure.

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