Dunphy Primary Care Renal Problems and Gender Related Health Problems Exam & Verified Answers | Latest Update | Rated 100%
Which of the following radiological studies provides direct imaging in several planes and is conducive to detecting renal cystic disease, inflammatory processes, and renal cell carcinoma? 1. Cystoscopy. 2. Ultrasonography. 3. Computed tomography. 4. Magnetic resonance imaging. ANSWER: 4. Magnetic resonance imaging. Rationales Option 1: Cystoscopy detects bladder or urethral pathological processes. Option 2: Ultrasonography identifies hydronephrosis and fluid collections. Option 3: Computed tomography identifies tumors and other pathological conditions that create variations in body density. Option 4: Magnetic resonance imaging provides direct imaging in several planes and is conducive to detecting renal cystic disease, inflammatory processes, and renal cell carcinoma. Which history is commonly found in a client with glomerulonephritis? 1. Beta-hemolytic streptococcal infection. 2. Frequent urinary tract infections. 3. Kidney stones. 4. Hypotension. ANSWER: 1. Beta-hemolytic streptococcal infection. Option 1: Clients with glomerulonephritis commonly have a history of beta-hemolytic streptococcal infections as well as a history of systemic lupus erythematosus or other autoimmune diseases. Glomerulonephritis is usually caused by an immunological response. Option 2: Frequent urinary tract infections are usually the result of a chronic bladder infection. Option 3: Kidney stones may be recurrent and depend on the type of stone. They do not occur as a result of glomerulonephritis. Option 4: Dehydration is the most common cause of orthostatic hypotension. In healthy people, low blood pressure without any symptoms is not usually a concern and does not need to be treated. After a renal biopsy, a client should be instructed: 1. That there may be some blood in the urine for the next several days. 2. To avoid strenuous activities for at least 2 weeks. 3. To drink 3 to 4 glasses of water per day. 4. To measure urine output for the first week. ANSWER: 2. To avoid strenuous activities for at least 2 weeks. Option 1: A client should be warned that he or she may notice some blood in the urine for the first 24 hours following the procedure. Option 2
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