Nokea
Which of the following methods should the nurse use to assess the kidneys for tenderness or pain?
- A. By auscultating the abdomen for bruits.
- B. By lightly striking the fist at the costovertebral angle.
- C. By observing for signs of bleeding.
- D. Monitor pressure dressing to note any frank bleeding.
Correct Answer: B
Rationale: The correct answer is B: By lightly striking the fist at the costovertebral angle. This method is known as percussion and is used to assess for kidney tenderness or pain. Percussion helps to identify any abnormalities in the kidneys or surrounding structures. Auscultation (choice A) is used to listen for sounds, not assess for tenderness. Observing for signs of bleeding (choice C) and monitoring pressure dressing (choice D) are not appropriate methods for assessing kidney tenderness or pain.
You may also like to solve these questions
Antiviral agents that is/ are active against cytomegalovirus (CMV) include which of the following?
- A. Ganciclovir
- B. Foscarnet
- C. Acyclovir
- D. (a) and (b) are correct
Correct Answer: D
Rationale: The correct answer is D because both Ganciclovir and Foscarnet are active against cytomegalovirus (CMV). Ganciclovir works by inhibiting viral DNA polymerase, while Foscarnet inhibits viral DNA polymerase and reverse transcriptase. Acyclovir, on the other hand, is not effective against CMV as it primarily targets herpes simplex virus and varicella-zoster virus. Therefore, choices A and B are correct for CMV treatment, making option D the correct answer.
Which of the following drugs for treatment of leprosy can cause hemolysis * especially in patients with G6PD deficiency?
- A. Dapsone
- B. Rifampicin
- C. Clofazimine
- D. None of these
Correct Answer: A
Rationale: Rationale:
1. Dapsone is a known cause of hemolysis in patients with G6PD deficiency due to oxidative stress.
2. Dapsone triggers the release of reactive oxygen species, leading to hemolysis in G6PD-deficient individuals.
3. Rifampicin and clofazimine do not have a direct association with hemolysis in G6PD deficiency.
4. Option D is incorrect as dapsone is a well-established drug associated with hemolysis in G6PD-deficient individuals.
While caring for a 77-year-old woman who has a urinary catheter, the nurse monitors the patient for the development of a UTI. What clinical manifestations is the patient most likely to experience?
- A. Cloudy urine and fever
- B. Urethral burning and bloody urine
- C. Vague abdominal discomfort and disorientation
- D. Suprapubic pain and slight decline in body temperature
Correct Answer: A
Rationale: The correct answer is A: Cloudy urine and fever. UTI in a patient with a urinary catheter may present with cloudy urine due to pus or bacteria, and fever due to infection. Urethral burning and bloody urine (B) are more indicative of urethritis or bladder trauma. Vague abdominal discomfort and disorientation (C) are not specific to UTI. Suprapubic pain and slight decline in body temperature (D) are less likely with UTI.
Which of the following cephalosporins has in vitro activity against anaerobic gram negative bacteria such as Bacteroides fragilis?
- A. Cefdinir
- B. Cefuroxime
- C. Cefazolin
- D. Cefepime
Correct Answer: B
Rationale: The correct answer is B: Cefuroxime. Cefuroxime is a second-generation cephalosporin that has demonstrated in vitro activity against anaerobic gram-negative bacteria like Bacteroides fragilis. This is due to its broader spectrum of activity compared to other choices.
A: Cefdinir is a third-generation cephalosporin with limited activity against anaerobic gram-negative bacteria.
C: Cefazolin is a first-generation cephalosporin primarily effective against aerobic gram-positive bacteria.
D: Cefepime is a fourth-generation cephalosporin with limited activity against anaerobic gram-negative bacteria.
The nurse caring for a patient with suspected renal has been referred by her primary physician for further dysfunction calculates that the patients weight has evaluation. The nurse should anticipate the use of what increased by 5 pounds in the past 24 hours. The nurse initial diagnostic test?
- A. Ultrasound
- B. X-ray
- C. 1,300 mL of fluid in 24 hours
- D. Computed tomography (CT)
Correct Answer: A
Rationale: The correct answer is A: Ultrasound. This is the appropriate initial diagnostic test for suspected renal dysfunction due to its non-invasive nature and ability to visualize the kidneys and urinary system. Ultrasound can detect abnormalities such as kidney stones or obstruction. X-ray (B) does not provide detailed imaging of the kidneys. Option C refers to fluid intake, which is not a diagnostic test. Computed tomography (CT) scan (D) involves radiation exposure and is usually reserved for more advanced imaging after initial ultrasound. Ultrasound is the most suitable choice for initial evaluation of renal dysfunction.