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 C

Explanation

A. Metabolic alkalosis would show a high HCO₃ level and elevated pH, which is not seen here.
B. Respiratory alkalosis would present with decreased PaCO₂ and elevated pH.
C. Metabolic acidosis is indicated by a low HCO₃ level (below 22 mEq/L) and low pH, consistent with the given values.
D. Respiratory acidosis would present with elevated PaCO₂ and a low pH, not shown in these results.

A. Constipation B. Incontinence C. Slight drowsiness D. Bright orange-red urine

Correct Answer is D

Explanation

A. Constipation is not a common side effect of phenazopyridine.
B. Incontinence is not associated with this medication.
C. Slight drowsiness is not a typical effect of phenazopyridine.
D. Bright orange-red urine is a well-known and harmless side effect of phenazopyridine, and patients should be informed to avoid alarm.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has the following arterial blood gas results: HCO, 20 mEq, PaCO2 40 mm Hg and pH 7.32. The nurse recognizes the client is experiencing which of the following acid base imbalances?

Correct Answer is C

Explanation

Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?

Correct Answer is D

Explanation

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