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 ["B","C","D"]
Explanation
(A) Constipation: Hypocalcemia causes increased GI motility, leading to diarrhea, not constipation.
(B) Trousseau's sign: Carpal spasm when inflating a BP cuff is a classic sign of hypocalcemia.
(C) Positive Chvostek’s sign: Facial twitching when tapping the facial nerve suggests hypocalcemia.
(D) Muscle spasms: Hypocalcemia increases neuromuscular excitability, leading to spasms and cramps.
(E) Shortened QT interval: Hypocalcemia prolongs the QT interval, while hypercalcemia shortens it.
Correct Answer is ["A","C","D","E"]
Explanation
(A) Benign Prostatic Hyperplasia (BPH): Enlarged prostate can obstruct urine flow, leading to postrenal AKI.
(B) Acute Tubular Necrosis: This is an intrarenal cause of AKI, resulting from direct kidney injury, not obstruction.
(C) Renal Calculi: Kidney stones blocking the ureter prevent urine excretion, causing back pressure on the kidneys.
(D) Ureteral Stricture: Narrowing of the ureter restricts urine outflow, leading to postrenal AKI.
(E) Bladder Tumor: A tumor in the bladder can obstruct urine passage, leading to kidney damage.
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