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

Answer and Explanation

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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Correct Answer is D

Explanation

A. This statement is not correct. Limiting calcium intake is not recommended for preventing calcium oxalate stones. In fact, adequate dietary calcium can help reduce the risk of stone formation.

B. This statement is not correct. Foods high in oxalate, such as spinach and nuts, should be limited to prevent calcium oxalate stones.

C. This statement is not correct. Fruits and vegetables are essential for overall health and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to calcium oxalate stone formation.

D. This is the correct answer. Reducing sodium intake can be beneficial for kidney health, as high sodium intake can increase calcium excretion in the urine and promote stone formation. Additionally, processed foods may contain high levels of sodium and should be limited.

A. "I should drink plenty of water to help flush out any stone fragments." B. "I will avoid strenuous activities for a few days after the procedure." C. "It's normal to have some blood in my urine for a short time after the surgery." D. "I can resume my regular diet immediately after the procedure."

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.

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A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

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 nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?

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A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

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 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?

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