A patient with urolithiasis is admitted with severe flank pain and hematuria. What is the nurse's priority intervention?

Obtain a urine specimen

Administer prescribed analgesics

Encourage oral fluids

Prepare the patient for surgery

Answer and Explanation

The Correct Answer is B

(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.

(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.

(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.

(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.

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Correct Answer is C

Explanation

(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.

(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.

(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.

(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.

A. Mitochondrial B. X-linked dominant C. Autosomal recessive D. Autosomal dominant

Correct Answer is C

Explanation

(A) Mitochondrial: CF is not maternally inherited through mitochondrial DNA.

(B) X-linked Dominant: CF does not involve the X chromosome.

(C) Autosomal Recessive: Cystic fibrosis (CF) occurs when an individual inherits two mutated copies of the CFTR gene (one from each parent). Both parents must be carriers for a child to develop the disease.

(D) Autosomal Dominant: CF requires two copies of the mutated gene, unlike dominant disorders that require only one.

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A patient with urolithiasis is admitted with severe flank pain and hematuria. What is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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A patient with urolithiasis is admitted with severe flank pain and hematuria. What is the nurse's priority intervention?