A client is admitted to the emergency room with renal colic due to renal lithiasis (stones). What is the nurse's highest priority in managing care for this client?
Prepare the client for lithotripsy to break up the stones.
Order a renal ultrasound to assess for the presence and location of the stones.
Administer pain medication as prescribed.
Initiate intravenous (IV) fluid therapy.
The Correct Answer is C
Choice A rationale
Preparing the client for lithotripsy is important for treatment but is not the immediate highest priority in an emergency setting. Immediate pain management takes precedence.
Choice B rationale
Ordering a renal ultrasound is necessary for assessing the stones but comes after stabilizing the client's acute symptoms, including managing pain.
Choice C rationale
Administering pain medication as prescribed is the highest priority because renal colic causes severe pain. Immediate pain relief is crucial for the client's comfort and to facilitate further diagnostic and therapeutic interventions.
Choice D rationale
Initiating IV fluid therapy is important for hydration and possibly aiding stone passage but follows after addressing the acute pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Chest pain is not typically associated with benign prostatic hyperplasia (BPH). BPH affects the prostate gland, leading to urinary symptoms rather than cardiovascular symptoms.
Choice B rationale
Joint stiffness is not a symptom of BPH. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis.
Choice C rationale
Frequent urination is a common symptom of BPH. The enlarged prostate gland can press against the urethra, causing increased frequency of urination, especially at night.
Choice D rationale
Blurred vision is not a symptom of BPH. Blurred vision can be caused by various conditions affecting the eyes but is not related to the prostate.
Correct Answer is ["0.8"]
Explanation
Step 1 is to divide the dose required by the concentration available. 3,800 units ÷ 5,000 units/mL = 0.76 mL.
The final answer is 0.8 mL.
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