The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?
Strain all urine.
Apply ice to the painful area.
Encourage bedrest.
Restrict fluids.
The Correct Answer is A
A. Straining urine is important to catch any stones that are passed, which can then be analyzed to determine their composition and inform future treatment and prevention strategies.
B. While cold therapy may provide some relief from discomfort associated with kidney stones, it is not the primary intervention for managing kidney stones.
C. Bedrest is generally not recommended for patients with kidney stones. Remaining active may help promote passage of the stone.
D. Adequate fluid intake is essential for preventing kidney stone formation and facilitating stone passage. Restricting fluids can exacerbate the problem by leading to concentrated urine and increased risk of stone formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While excessive alcohol consumption can contribute to various health problems, it is not a known risk factor for leukemia.
B. Down syndrome is associated with an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL).
C. Hemophilia is a bleeding disorder and is not directly associated with an increased risk of leukemia.
D. Iron deficiency anemia is not a known risk factor for leukemia.
Correct Answer is B
Explanation
A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.
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