A nurse is assessing a client with suspected renal calculi. The client reports experiencing sudden and severe pain in the right flank area that radiates to the groin. The nurse notes that the client is restless and unable to find a comfortable position. What type of renal calculi is most likely causing the client's symptoms?

Calcium oxalate stones

Uric acid stones

Struvite stones

Answer and Explanation

The Correct Answer is B

A. Calcium oxalate stones may cause pain, but they do not typically radiate to the groin. They are more likely to cause localized pain in the back or side.

B. This is the correct answer. Uric acid stones can cause sudden and severe pain that radiates from the back to the groin. The pain is often described as colicky and is associated with restlessness.

C. Struvite stones are typically associated with urinary tract infections and may not cause the sudden and severe pain described in the question.

D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain.

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Correct Answer is D

Explanation

A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.

B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.

C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.

D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.

A. "The most common symptom of kidney stones is severe back pain." B. "The most common symptom of kidney stones is hematuria (blood in urinE. ." C. "The most common symptom of kidney stones is frequent urination." D. "The most common symptom of kidney stones is sudden weight loss."

Correct Answer is B

Explanation

A. Severe back pain can be a symptom of kidney stones, but it is not the most common one.

B. This is the correct answer. Hematuria, or blood in the urine, is the most common symptom of kidney stones. The blood may be visible or microscopic.

C. Frequent urination can be a symptom of kidney stones, but it is not the most common one.

D. Sudden weight loss is not a symptom commonly associated with kidney stones.

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Naxlex Comprehensive Predictor Exams

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

Correct Answer is B

Explanation

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?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

A client with a history of kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?