The nurse is evaluating a client at a one-month check-up who is being treated for hypertension through lifestyle modifications.
Which of the following findings would be a priority for the nurse to follow up?

Choice A rationale

Stones lodged in the ureter cause severe, colicky pain due to intense peristaltic waves attempting to dislodge the obstruction. The pain often radiates down the thigh and groin as the ureter's path follows these areas. Additionally, urinary retention or frequent urges with minimal voiding occurs due to irritation and partial blockage, confirming ureteral stone involvement.

Choice B rationale

While some stones may pass spontaneously, timing varies widely depending on size, location, and hydration levels. Pain and obstruction may persist longer than a few hours, making this statement misleading without further assessment.

Choice C rationale

Bladder stones may cause lower abdominal pain, frequency, and hematuria but do not typically involve radiating pain to the groin or thigh. The described symptoms strongly suggest ureteral obstruction rather than bladder involvement.

Choice D rationale

While procedural removal is an option for large or immovable stones, initial approaches often include pain control, hydration, and medical expulsive therapy. Surgical intervention is not the first-line explanation unless conservative management fails.

Choice A rationale

Corticosteroids are the mainstay of treatment for thrombocytopenia, particularly immune-mediated types like ITP. They work by suppressing immune-mediated platelet destruction, thereby increasing platelet counts and improving symptoms effectively.

Choice B rationale

Diphenhydramine, an antihistamine, may be used for allergic reactions but has no role in treating thrombocytopenia. It does not address immune-mediated mechanisms or platelet destruction directly.

Choice C rationale

Desmopressin (DDAVP) increases von Willebrand factor and Factor VIII activity, making it appropriate for certain clotting disorders but irrelevant for thrombocytopenia, as it does not restore platelet numbers or function.

Choice D rationale

Hydrochlorothiazide, a diuretic, is used for hypertension or fluid management but has no therapeutic effect on platelet counts or immune-mediated mechanisms in thrombocytopenia. Its use is unrelated to the described condition. .