The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Maintain IV fluids and encourage oral fluids

Promote assisted ambulation as tolerated

Strain urinary output and observe for stones

Administer prescribed narcotic medication

Answer and Explanation

The Correct Answer is C

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

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Correct Answer is D

Explanation

Choice a reason: Regular exercise is not a risk factor for urinary tract infections (UTIs). In fact, regular physical activity can contribute to overall health and well-being, including supporting a healthy immune system. There is no direct connection between exercise and an increased risk of UTIs.
Choice b reason: Drinking plenty of water is a preventive measure rather than a risk factor for UTIs. Adequate hydration helps to flush out bacteria from the urinary tract through frequent urination, reducing the likelihood of infection. Encouraging good hydration is an important strategy to prevent UTIs.
Choice c reason: Eating a balanced diet is beneficial for overall health and does not increase the risk of UTIs. A well-balanced diet supports the immune system and overall bodily functions, which can help in preventing infections, including UTIs. Proper nutrition is not associated with an increased risk of urinary tract infections.
Choice d reason: Poor personal hygiene is a significant risk factor for urinary tract infections. Inadequate hygiene practices, such as not cleaning the genital area properly or wiping from back to front after using the toilet, can introduce bacteria into the urinary tract, leading to infection. Ensuring good personal hygiene is crucial in preventing UTIs.

A. Dehydration B. Protein in the urine C. Obesity D. Iron deficiency

Correct Answer is A

Explanation

Choice a reason: Dehydration is a significant risk factor for the formation of renal calculi (kidney stones). When the body is dehydrated, urine becomes concentrated with minerals and salts, which can crystallize and form stones. Ensuring adequate hydration is crucial in preventing kidney stone formation, as it helps to dilute the urine and flush out potential stone-forming substances.
Choice b reason: Protein in the urine, or proteinuria, is not a direct cause of kidney stones. Proteinuria can indicate underlying kidney disease or damage but is not typically linked to the formation of kidney stones. Monitoring protein levels in the urine is important for overall kidney health, but it is not a primary factor in stone formation.
Choice c reason: Obesity is associated with an increased risk of kidney stones. Obesity can lead to changes in the body's metabolism and increase the excretion of certain substances, such as calcium and oxalate, which can contribute to stone formation. Maintaining a healthy weight through diet and exercise can help reduce the risk of developing kidney stones.
Choice d reason: Iron deficiency is not a known risk factor for the formation of kidney stones. While maintaining adequate iron levels is important for overall health, it does not have a direct impact on the formation of renal calculi. Other dietary and metabolic factors play a more significant role in stone development.

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The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a risk factor for urinary tract infection (UTI)?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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