The nurse is assessing a client after a motor vehicle accident ...

[danielfitts88]

The nurse is assessing a client after a motor vehicle accident and notes the presence of ecchymosis in the left flank area. Which interpretation of this data is the most accurate?
 
  1. Positive Grey Turner sign.
  2. Costovertebral angle tenderness.
  3. Possible clotting dysfunction.
  4. A precursor to hematuria.

Question 2

Which structure in the kidney is made up of pyramids and calyces, whose function is to collect urine and transport it into the renal pelvis?
 
  1. A.
  2. B.
  3. C.
  4. D.

[sarah_brady415]

Answer to Question 1

Correct Answer: 1
The presence of ecchymosis in the flank area is a positive Grey Turner sign and must be correlated to signs of trauma such as blunt penetrating wounds or lacerations. Tenderness in the costovertebral angle is a symptom the client would voice if present; ecchymosis in this area does not necessarily indicate tenderness. A clotting problem could cause bruising, but bruising in this specific area would be more indicative of a positive Grey Turner sign. Hematuria is not necessarily going to occur as a result of the findings.

Answer to Question 2

Correct Answer: 3
The renal medulla is composed of structures called pyramids and calyces. The pyramids are wedge like structures made up of bundles of urine-collecting tubules. At their apex, the pyramids have papillae that are enclosed by cuplike structures called calyces. The calyces collect urine and transport it into the renal pelvis, which is the funnel-shaped superior end of the ureter.

[danielfitts88]

Thank you

[sarah_brady415]

Happy to help you