The client presents with dull, achy flank pain, and a palpable mass in the costovertebral angle.
Based on these symptoms, the nurse suspects which of the following conditions?
Urinary tract infection (UTI)
Gout
Renal calculi
Renal cell carcinoma
The Correct Answer is D
Choice A rationale
While a urinary tract infection (UTI) can cause discomfort and pain, it typically does not cause a palpable mass in the costovertebral angle.
Choice B rationale
Gout is a form of arthritis that causes severe pain and swelling in the joints, not typically in the costovertebral angle.
Choice C rationale
Renal calculi, or kidney stones, can cause severe pain, but they do not typically cause a palpable mass in the costovertebral angle.
Choice D rationale
Renal cell carcinoma, a type of kidney cancer, can cause a palpable mass in the costovertebral angle. This is because the tumor can grow large enough to be felt through the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The urethra is a tube that carries urine from the bladder out of the body. It is not typically the location of a pyelonephritis infection.
Choice B rationale
The bladder is part of the lower urinary tract and is typically not the location of a pyelonephritis infection.
Choice C rationale
The ureters are tubes that carry urine from the kidneys to the bladder. While they can be affected by urinary tract infections, they are not typically the primary location of a pyelonephritis infection.
Choice D rationale
Pyelonephritis is an infection that occurs in the kidneys. It typically starts in the lower urinary tract, such as the bladder, and then spreads to one or both kidneys.
Correct Answer is A
Explanation
Choice A rationale
Weight gain is not a typical clinical manifestation of gastric cancer. In fact, weight loss is one of the most common symptoms at initial diagnosis.
Choice B rationale
Dysphagia, or difficulty swallowing, can be a symptom of gastric cancer, particularly if the cancer is located near the esophagus.
Choice C rationale
Fatigue can be a symptom of gastric cancer, often due to anemia from chronic blood loss in the stool or malnutrition from decreased appetite and weight loss.
Choice D rationale
Vomiting can be a symptom of gastric cancer, especially if the cancer causes a blockage in the stomach or duodenum.
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