A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

Colicky

Gnawing

Stabbing

Numbing

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Kidney stone pain is often described as colicky, which means it comes and goes in waves of severe pain. The pain can be intense and cramp-like, causing the client to writhe or be restless.

B. Gnawing pain is not typically associated with kidney stones. Gnawing pain is often described as a persistent, dull ache that can be more chronic in nature.

C. Stabbing pain is sharp and localized and is not typically used to describe kidney stone pain.

D. Numbing pain refers to a loss of sensation, which is not characteristic of kidney stone pain.

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Correct Answer is C

Explanation

A. Allopurinol does not directly increase urine output. It is not a diuretic and is not used for that purpose.

B. Allopurinol does not dissolve existing kidney stones. It is primarily used to prevent the formation of uric acid stones, not to treat existing stones.

C. This is the correct answer. Allopurinol is a medication used to reduce the production of uric acid in the body. By lowering uric acid levels, it can help prevent the formation of uric acid stones.

D. Allopurinol does not increase the excretion of calcium. It is used specifically to address uric acid levels and prevent uric acid stone formation.

A. "Limit your intake of foods high in calcium." B. "Increase your intake of foods high in oxalate." C. "Avoid all fruits and vegetables to reduce oxalate intake." D. "Reduce your consumption of sodium and processed foods."

Correct Answer is D

Explanation

A. This statement is not correct. Limiting calcium intake is not recommended for preventing calcium oxalate stones. In fact, adequate dietary calcium can help reduce the risk of stone formation.

B. This statement is not correct. Foods high in oxalate, such as spinach and nuts, should be limited to prevent calcium oxalate stones.

C. This statement is not correct. Fruits and vegetables are essential for overall health and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to calcium oxalate stone formation.

D. This is the correct answer. Reducing sodium intake can be beneficial for kidney health, as high sodium intake can increase calcium excretion in the urine and promote stone formation. Additionally, processed foods may contain high levels of sodium and should be limited.

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A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of kidney stones is prescribed allopurinol. The nurse should recognize that this medication is primarily used to:

Correct Answer is C

Explanation

A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?

A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?

A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?