A patient scheduled for a renal ultrasound asks if the procedure is going to be painful. What should the nurse do to help the patient prepare for this diagnostic test?
1. Describe the typical experience of a patient having a renal ultrasound.
2. Discuss feelings associated with painful experiences.
3. Explain pain medications available during this procedure.
4. Describe the typical experience of a patient using conscious sedation.
Question 2What staff member should the nurse on the postoperative unit assign to do a follow-up assessment for a patient who has returned home after having an intravenous pyelogram 24 hours ago?
1. RN floating from the immunology unit
2. LPN floating from the nephrology unit
3. LPN floating from the pulmonology unit
4. RN floating from the orthopedic unit
Question 3The nurse is reviewing laboratory data for a patient scheduled for an intravenous pyelogram. Which result should the nurse report to the primary healthcare provider immediately?
1. serum osmolality of 1500 mOsm/kg/H2O
2. serum creatinine of 1.30 mg/dL
3. blood urea nitrogen of 20 mg/dL
4. hourly urine output of 45 mL/hour
Question 4The nurse is reviewing teaching with a patient who is scheduled for an intravenous pyelogram. The nurse recognizes that further teaching is needed when the patient states, I will
1. not drink any fluids for at least 12 hours before the procedure.
2. start the bowel prep with a suppository the night before the procedure.
3. take the prescribed laxative the morning of the procedure.
4. not eat solid food for at least 8 hours before the procedure.
Question 5The charge nurse overhears a graduate nurse completing an assessment with a patient scheduled to have an MRI of the kidneys. What question would require the charge nurse to intervene?
1. When did you last have anything to eat or drink?
2. Have you ever been treated for chest pain?
3. Do you have any tattoos?
4. Is there any possibility you could be pregnant?
Question 6The nurse is reviewing the laboratory results for a patient who has a prescription for an estimated glomerular filtration rate (EGFR). Which information should the nurse identify as being used to determine the estimated glomerular filtration rate?
Select all that apply.
1. serum creatinine
2. patient's age
3. patient's gender
4. patient's racial origin
5. serum blood urea nitrogen
Question 7In formulating the teaching plan for a patient who is taking the oral hypoglycemic agent metformin (Glucophage), the nurse should include which priority instruction? Notify your healthcare provider if
1. you need a diagnostic test that uses iodinated contrast.
2. your urine becomes orange or red-tinted.
3. your urine becomes more concentrated.
4. you need an intermittent or indwelling urinary catheterization.
Question 8A patient who has prescriptions for both an intravenous pyelogram and a barium enema tells the nurse, I will schedule the intravenous pyelogram to be done before the barium enema. Which of these responses by the nurse is most appropriate?
1. Please make your appointments as you have indicated.
2. Please clarify with your primary healthcare provider which should be completed first.
3. Please reverse the order of your planned appointments.
4. The order of the tests is irrelevant. You may change the order to meet your needs.
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