QUESTIONS WITH 100% VERIFIED
ANSWERS!!
,1 of 60
Term
Which medication to treat osteoporosis would be contraindicated
for a client who has a history of renal calculi?
1. Os-cal
2.Raloxifene
3. Ibandronate
4. Zoledronic acid
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2. Ileal conduit
Rationale:
An ileal conduit is the transplantation of the ureters to a section of the colon
with one end attached to the abdominal wall. A cystostomy is an opening into
the
bladder through the abdominal wall that allows urine to flow out. An
ureterosigmoidostomy involves transplanting the ureter into the colon so that the
urine is excreted through the rectum. A cutaneous ureterostomy involves the
surgical creation of an opening from the ureter to the skin surface of the
abdomen.
4. Distention of the lower abdomen
Rationale:
Distention of the suprapubic area indicates the bladder is distended with urine
and palpable. Perineal edema is not a clinical manifestation of urinary retention
and benign prostatic hyperplasia. Urethral discharge typically relates to sexually
transmitted infections and may indicate an infection, but not benign prostatic
, hyperplasia. The discharge would be associated with a urinary infection.
Radiating flank pain may indicate renal calculi.
Topics
1. Os-cal
Rationale:
Os-cal (a calcium supplement) should not be prescribed to a client
with osteoporosis with a history of urinary stones. Raloxifene may
increase liver function test values and worsen hepatic disease.
Ibandronate should not be prescribed to clients with gastric problems
because of the risks of
esophagitis and gastric ulcers. Zoledronic acid should not be prescribed to
clients with poor oral hygiene because the medication may cause maxillary
osteonecrosis.
2.Ileal conduit
Rationale:
An ileal conduit is the transplantation of the ureters into a resected portion of
the ileum, which is then used to create a stoma on the abdominal wall for
drainage of urine. Cystostomy is an opening into the bladder through the
abdominal wall that allows urine to flow out. In ureterosigmoidostomy, the
ureter is transplanted into the colon and urine is excreted through the rectum. In
cutaneous ureterostomy, the ureter is transplanted through the abdomen and
attached to the skin.
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2 of 60
Term
Which urinary diversion surgery involves the transplantation of the
ureters to a section of the colon, with one end attached to the
abdominal wall as an ileostomy?
1. Cystostomy
, 2.Ileal conduit
3. Ureterosigmoidostomy
4. Cutaneous ureterostomy
Give this one a try later!
2.Ileal conduit
Rationale:
An ileal conduit is the transplantation of the ureters into a resected portion of
the ileum, which is then used to create a stoma on the abdominal wall for
drainage of urine. Cystostomy is an opening into the bladder through the
abdominal wall that allows urine to flow out. In ureterosigmoidostomy, the
ureter is transplanted into the colon and urine is excreted through the rectum. In
cutaneous ureterostomy, the ureter is transplanted through the abdomen and
attached to the skin.
3. Biopsy of prostatic
tissue Rationale:
A definitive diagnosis of the cellular changes associated with BPH is made by
biopsy, with subsequent microscopic evaluation. Palpation of the prostate gland
through rectal examination is not a definitive diagnosis; this only reveals size and
configuration of the prostate. The serum phosphatase level will provide
information for prostatic cancer; a definitive diagnosis cannot be made with this
test for BPH. A sample of prostatic fluid helps diagnosis prostatitis.
2.Uric
acid
Rationale:
Purines are precursors of uric acid, which crystallizes. Cystine stones are caused
by a rare hereditary defect resulting in defective absorption of cysteine in the
gastrointestinal tract and kidneys (inborn error of cystine metabolism). Serum