How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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

A.

Obtain a urine specimen

B.

Administer prescribed analgesics

C.

Encourage oral fluids

D.

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.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"B"}}

Explanation

Hyperthyroidism:

  • Heat Intolerance: Increased metabolism leads to excessive heat production.
  • Exophthalmos: Protrusion of the eyes due to autoimmune effects in conditions like Graves’ disease.
  • Tremors: Overstimulation of the nervous system causes fine hand tremors.

Hypothyroidism:

  • Bradycardia: Reduced thyroid hormone slows metabolism and heart rate.
  • Weight Gain: Decreased metabolism leads to fat accumulation.
  • Dry Coarse Skin: Reduced metabolism causes decreased sweat and oil production, leading to dry skin.

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.

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

Register