A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)
Fever
Urinary urgency
Incontinence
Gastrointestinal upset
Flank pain
Correct Answer : A,B,E
Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.
Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are
located in the lower part of the urinary tract.
Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.
Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.
Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Step 1: The total amount of phenytoin required per dose is 250 mg.
Step 2: Each 5 mL of oral solution contains 25 mg of phenytoin.
Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of oral solution. So, (250 mg ÷ 25 mg/5 mL).
Step 4: The result is 50 mL.
So, the nurse should administer 50 mL per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is C
Explanation
Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.
Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.
Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.
Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.
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