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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Mannitol: Osmotic diuretic, does not significantly lower potassium.
(B) Calcium Carbonate: Used for hypocalcemia, not hyperkalemia.
(C) Glucose & Insulin: Insulin drives potassium into cells, reducing serum potassium levels. Glucose is given to prevent hypoglycemia.
(D) Metoprolol: Beta-blocker, does not directly lower potassium.
Correct Answer is D
Explanation
(A) Restrict the patient’s fluid intake: Fluid restrictions are important but not the priority during administration. Monitoring for adverse effects like ototoxicity is more critical.
(B) Ensure the patient voids before administration: Furosemide is a diuretic, but voiding before administration is not required.
(C) Administer the dose rapidly to achieve quick results: Rapid IV push can cause ototoxicity and hypotension. It should be given slowly over 1-2 minutes.
(D) Monitor the patient for tinnitus: High-dose or rapid IV administration of furosemide can cause ototoxicity, leading to tinnitus and hearing loss.
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