A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?
Colicky
Gnawing
Stabbing
Numbing
The Correct Answer is A
A. This is the correct answer. Kidney stone pain is often described as colicky, which means it comes and goes in waves of severe pain. The pain can be intense and cramp-like, causing the client to writhe or be restless.
B. Gnawing pain is not typically associated with kidney stones. Gnawing pain is often described as a persistent, dull ache that can be more chronic in nature.
C. Stabbing pain is sharp and localized and is not typically used to describe kidney stone pain.
D. Numbing pain refers to a loss of sensation, which is not characteristic of kidney stone pain.
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Correct Answer is D
Explanation
A. Avoiding all dairy products is not a recommended prevention strategy for kidney stones. In fact, adequate dietary calcium may be beneficial for reducing the risk of certain types of stones.
B. Increasing dietary calcium intake, especially from food sources, may help prevent certain types of kidney stones, such as calcium oxalate stones.
C. Reducing fluid intake is not a recommended prevention strategy for kidney stones. Inadequate hydration can actually increase the risk of stone formation.
D. This is the correct answer. Drinking plenty of water and staying hydrated is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.
Correct Answer is C
Explanation
A. Thiazide diuretics can lead to decreased calcium excretion in the urine, which may be beneficial for some clients with kidney stones. They are used to reduce the excretion of calcium and prevent the formation of calcium-based stones.
B. Hypernatremia is not directly related to thiazide diuretic use. Thiazide diuretics primarily affect sodium excretion in the urine, but they do not typically cause hypernatremia.
C. This is the correct answer. Thiazide diuretics can cause hypokalemia (low potassium levels) as they increase potassium excretion in the urine.
D. Thiazide diuretics do not cause hypermagnesemia. They do not have a significant effect on magnesium excretion in the urine.
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