A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?
Sharp, stabbing pain in the lower abdomen
Dull ache in the upper back and flank region
Burning sensation during urination
Constant, generalized abdominal discomfort
The Correct Answer is B
A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.
B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.
C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.
D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.
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Related Questions
Correct Answer is D
Explanation
A. This statement is not correct. Adequate fluid intake is essential to help prevent kidney stones. Restricting fluid intake can increase the concentration of minerals in the urine and promote stone formation.
B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.
C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.
D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.
Correct Answer is C
Explanation
A. Uric acid stones may cause pain, but they do not typically present with costovertebral angle tenderness. Uric acid stones are more likely to be associated with gout and hyperuricemia.
B. Calcium oxalate stones are common and can cause pain, but they do not typically cause costovertebral angle tenderness. They are more likely to cause localized pain in the back or side.
C. This is the correct answer. Struvite stones, also known as infection stones, can cause severe pain that radiates to the back and lower abdomen. They are often associated with urinary tract infections, and the presence of an infection can lead to costovertebral angle tenderness.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain with tenderness.
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