When working in the urology/nephrology clinic, which patient ...

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When working in the urology/nephrology clinic, which patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
 
  a. Patient who is scheduled for a renal biopsy after a recent kidney transplant
  b. Patient who will need monitoring for several hours after a renal arteriogram
  c. Patient who requires teaching about possible post-cystoscopy complications
  d. Patient who will have catheterization to check for residual urine after voiding

Question 2

When assessing a patient with a urinary tract infection, indicate on the accompanying figure where the nurse will percuss to assess for possible pyelonephritis.
 
  a. 1
  b. 2
  c. 3
  d. 4

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Answer to Question 1

ANS: D
LPN/LVN education includes common procedures such as catheterization of stable patients. The other patients require more complex assessments and/or patient teaching that are included in registered nurse (RN) education and scope of practice.

Answer to Question 2

ANS: B
Costovertebral angle (CVA) tenderness with percussion suggests pyelonephritis or polycystic kidney disease.

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