Author Question: The nurse assessing the urinary system of a 45-year-old female would use auscultation to a. ... (Read 32 times)

justinmsk · **on:** Jun 25, 2018

The nurse assessing the urinary system of a 45-year-old female would use auscultation to

a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention.

Question 2

A patient born in 1955 had hepatitis A infection 1 year ago. According to Centers for Disease Control and Prevention (CDC) guidelines, which action should the nurse include in care when the patient is seen for a routine annual physical exam?

a. Start the hepatitis B immunization series.
b. Teach the patient about hepatitis A immune globulin.
c. Ask whether the patient has been screened for hepatitis C.
d. Test for anti-hepatitis-A virus immune globulin M (anti-HAV-IgM).

cat123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The presence of a bruit may indicate problems such as renal artery tortuosity or abdominal aortic aneurysm. Auscultation would not be helpful in assessing for the other listed urinary tract information.

Answer to Question 2

ANS: C
Current CDC guidelines indicate that all patients who were born between 1945 and 1965 should be screened for hepatitis C because many individuals who are positive have not been diagnosed. Although routine hepatitis B immunization is recommended for infants, children, and adolescents, vaccination for hepatitis B is recommended only for adults at risk for blood-borne infections. Because the patient has already had hepatitis A, immunization and anti-HAV IgM levels will not be needed.