A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. Which of the following actions is the nurse's priority?
Administer an antiemetic
Administer pain medication.
Strain the urine.
Monitor intake and output.
The Correct Answer is B
A. Administering an antiemetic can provide relief, but it is not the first priority in this case.
B. Administering pain medication is the priority because managing acute pain is essential for client comfort and can reduce stress responses.
C. Straining the urine is important for identifying possible kidney stones but is not the most immediate concern.
D. Monitoring intake and output helps assess kidney function but is secondary to relieving severe pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Continue to take your prescribed gout medication is important for managing gout, but it does not directly prevent renal calculi recurrence.
B. A diet high in calcium oxalate-rich foods can contribute to stone formation and should generally be limited.
C. Drinking plenty of fluids helps dilute the urine and reduce the concentration of stone-forming substances, especially important for someone working in hot environments where dehydration risk is high.
D. A diet high in purine-rich foods (e.g., red meats, organ meats, shellfish) increases uric acid levels and can promote uric acid stone formation, especially in clients with gout.
Correct Answer is B
Explanation
A. Damage to the adrenal cortex affects hormone production (like aldosterone and cortisol), not directly the kidney tissue.
B. Nephrotoxic injury from contrast media directly damages kidney tissues, specifically the nephrons, making it an intrarenal cause of acute renal failure.
C. Urinary collecting system obstruction is a postrenal cause of renal failure.
D. Poor kidney perfusion is a prerenal cause of acute renal failure, not intrinsic.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.