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 D rationale
An elevated thyroid-stimulating hormone (TSH) level combined with decreased Triiodothyronine (T3) and Thyroxine (T4) levels is indicative of hypothyroidism. This is due to the body attempting to stimulate the underactive thyroid gland to produce more thyroid hormones (Healthline, 2022).
Choice A rationale
Hyperparathyroidism, characterized by elevated serum calcium, does not involve thyroid hormone levels (nih.gov, n.d.).
Choice B rationale
Normal thyroid functioning would not exhibit elevated TSH with decreased T3 and T4 levels (Healthline, 2022).
Choice C rationale
Hyperthyroidism would present with low TSH levels and elevated T3 and T4 levels (Studocu, n.d.).
Correct Answer is C
Explanation
Choice A rationale
While blood-tinged urine can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Choice B rationale
Colicky flank pain is a common symptom of nephrolithiasis, but it does not necessarily indicate the presence of an infection.
Choice C rationale
Chills are often a sign of an infection. If a patient with nephrolithiasis is experiencing chills, it could indicate that an infection is also present.
Choice D rationale
While nausea can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
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