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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DKA) for its rapid effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the acute management of DKA.
C. Insulin detemir is a long-acting insulin that does not act quickly enough for DKA.
D. Insulin glargine is also a long-acting insulin and is not suitable for immediate correction of DKA.

A. Ensure the drainage tubing is patent and without obstruction. B. Notify the surgeon if the urine is bright red in appearance or has large clots. C. Add the amount of bladder irrigation to the total output. D. Use sterile technique when preparing the irrigation solution. E. Contact the surgeon if the client reports a continual need to void.

Correct Answer is ["A","B","D","E"]

Explanation

A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow.
B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon.
C. The amount of irrigation fluid is usually subtracted from the total output to determine true urine output, not added.
D. Using sterile technique helps prevent infection in a postoperative patient.
E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.

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A client diagnosed with renal calculi is admitted to the medical unit with renal colic. Which interventions should the nurse implement the first?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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