Question

• Choose the correct answer

• Indicate a rational for the answer

12) Three days after admission, the following lab results are reported. Which of these results should be reported to the patient's provider immediately?

a) BUN 38 and serum creatinine 2.1

b) Potassium 5.0 and Hemoglobin 11.8

c) White blood count 10,000 and serum glucose 92

d) Sodium 140 and Potassium 3.8

13) If the patient's renal impairment progresses, which intervention would you expect to be implemented next?

a) Continuous renal replacement therapy

b) Peritoneal dialysis

c) Hemodialysis

d) Kidney transplant

III. A 36-year-old male is admitted direct from his provider's office for a diagnosis of probable nephrolithiasis.

14) Which of the following signs and symptoms would you expect to observe in a patient with acute nephrolithiasis?

a) Fever, chills, severe pain

b) Increased frequency of urination of small volumes, mild to moderate pain, nausea

c) Difficulty voiding, low-grade fever, mild pain

d) Polyuria, nausea, mild pain

15) For which of the following diagnostic tests would you expect to prepare the patient to confirm a diagnosis of nephrolithiasis?

a) Electrocardiogram (ECG), retrograde pyelography

b) CBC, BUN, and creatinine

c) Kidney, ureters, bladder (KUB) X-ray, IV urography

d) Chest x--ray

Answer 1

Ans:- 12) A

BUN- 38 and serum creatinine 2.1 should be reported to the patient's provider immediately because BUN is increased as it's normal value is around 7-20 mg/dl and it is the indication of kidney failure as they can not remove urea from blood , heart failure, dehydration, and liver disease.

Creatinine level is 0.6 - 1.2mg/dl so it is also increased.

13) A,

Continuous renal replacement therapy because it is the treatment to improve the condition in progressive renal impairment.

14) A

Fever, chills and sever pain.

As it is a inflammation so fever will occur and chills will also and severe pain will occurs because in nephrolithiasis stones forms in kidney and when they pass through ureters it becames very painful.

15) C,

For kidney, ureters, bladder (KUB) x-ray ray ,IV urography we will prepare the patient because these are the diagnostic tests of the nephrolithiasis