A client diagnosed with renal calculi is admitted to the medical unit with renal colic. Which interventions should the nurse implement the first?
Assess the client's pain and related complications
Monitor the client's urinary output
Use a safety gait belt when ambulating the client
Increase the client's oral fluid intake
The Correct Answer is A
A. Pain assessment and management are a priority in renal colic due to the severe discomfort it causes, and prompt treatment is necessary.
B. Monitoring urinary output is important but is secondary to immediate pain management.
C. Safety during ambulation is necessary, but assessing and managing pain takes precedence in an acute setting.
D. Increasing fluid intake can help flush out stones but is typically addressed after pain management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["56"]
Explanation
To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.
Correct Answer is B
Explanation
A. Retinopathy involves the retina and is detected through eye exams, not monofilament testing.
B. Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.
C. Radiculopathy relates to nerve root issues in the spine, not typically assessed with monofilaments.
D. Nephropathy concerns kidney function and is not assessed via sensory testing in the extremities.
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