What pain description is the client with renal calculi most likely to report during an assessment?

A feeling of pressure in the bladder.

A mild, burning pain when urinating.

Sharp, severe flank pain that occurs suddenly.

A constant, dull, aching pain in the right upper quadrant.

Answer and Explanation

The Correct Answer is C

This is because renal calculi can cause renal colic, which is a sudden and intense pain in the flank area that radiates to the groin or testicles.

The pain is caused by the stone obstructing the ureter and triggering spasms.

Choice A is wrong because a feeling of pressure in the bladder is more likely to indicate a lower urinary tract infection or an overactive bladder.

Choice B is wrong because a mild, burning pain when urinating is more likely to indicate a urinary tract infection or a urethral injury.

Choice D is wrong because a constant, dull, aching pain in the right upper quadrant is more likely to indicate a liver or gallbladder problem.

Normal ranges for urine pH are 4.5 to 8.0, and for specific gravity are 1.005 to 1.030.

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Correct Answer is C

Explanation

The nurse should respect the client’s privacy and confidentiality by not discussing the client’s condition in a crowded elevator, even with the health care provider. The nurse should suggest a more private area to have the conversation.

Choice A is wrong because it shows a lack of professionalism and accountability. The nurse should be able to provide a brief update on the client’s status to the health care provider, even if the nurse is off duty.

Choice B is wrong because it implies that the healthcare provider does not have the right to access the client’s information, which is not true. The health care provider is part of the health care team and has a legitimate need to know the client’s condition.

Choice D is wrong because it violates the client’s privacy and confidentiality by disclosing sensitive information in front of other people. The nurse should not share any details about the client’s condition or treatment without the client’s consent or unless it is necessary for the client’s care.

A. Client’s wound dressing is dry. B. Client is awake and oriented. C. Client is breathing. D. Client’s foley catheter is draining.

Correct Answer is C

Explanation

The first observation the nurse should perform for a client who is receiving from the post anesthesia unit after a colon resection is to assess the patency of the airway and respiratory function.

This is because the airway is the most vital for the survival of the client and any compromise can lead to hypoxia and death.

The nurse should then take vital signs, check the wound dressing, and assess the foley catheter drainage.

Choice A is wrong because the client’s wound dressing is not as important as the airway and can be checked later.

Choice B is wrong because the client’s level of consciousness may be affected by the anesthesia and is not a priority over the airway.

Choice D is wrong because the client’s foley catheter drainage is not a critical observation and can be monitored later.

Normal ranges for respiratory rate are 12 to 20 breaths per minute for adults, oxygen saturation is 95% to 100%, and blood pressure is 120/80 mmHg for healthy individuals.

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What pain description is the client with renal calculi most likely to report during an assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider. Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.

Correct Answer is C

Explanation

A nurse is receiving a client from the post anesthesia unit after a colon resection. What is the first observation the nurse should perform?

Correct Answer is C

Explanation

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