A client is admitted to the emergency room with renal calculi. Upon assessment, which of the following findings should the nurse expect?

Bradycardia

Bradypnea

Severe pain

Nocturia

Answer and Explanation

The Correct Answer is C

Choice A reason: Bradycardia, which is a slower than normal heart rate, is not a common finding associated with renal calculi. Renal calculi, or kidney stones, typically cause symptoms related to the urinary system rather than directly affecting the heart rate.

Choice B reason: Bradypnea, or abnormally slow breathing, is also not a typical symptom of renal calculi. Patients with kidney stones may experience changes in urination patterns, such as frequency or urgency, but not typically changes in respiratory rate.

Choice C reason: Severe pain is indeed the most common symptom associated with renal calculi. This pain, known as renal colic, is often sudden in onset, very severe, and may radiate from the back down to the lower abdomen or groin. The pain is caused by the stone moving into the ureter and causing a blockage, which leads to increased pressure and stretching of the kidney or ureter. Renal calculi can cause a range of symptoms, with severe pain being the most prominent and often the first symptom that leads individuals to seek medical care. The pain is typically very intense and can be accompanied by other symptoms such as nausea, vomiting, and hematuria (blood in the urine).

Choice D reason: Nocturia, or frequent urination at night, can be a symptom of renal calculi, especially if the stones affect the bladder or cause urinary tract infections. However, the most characteristic symptom of renal calculi is severe pain, not necessarily nocturia.

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Correct Answer is C

Explanation

Choice A reason:Shaking the bag is not recommended as it may not adequately mix the solution and could cause emulsion instability.

Choice B reason:Administering the bag as is could be harmful due to the risk of fat embolism or other complications from an unstable emulsion.

Choice C reason:Returning the bag to the pharmacy is the appropriate action to ensure the client receives a properly mixed and safe emulsion.

Choice D reason:Turning the bag upside down one time is not sufficient to mix the emulsion and does not address the potential instability of the solution.

A. Severe fluid and electrolyte imbalance B. Upper abdominal distention C. Metabolic acidosis D. Projectile vomiting with a fecal odor E. Diarrhea or ribbon-like stools

Correct Answer is ["A","B","D"]

No explanation

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A client is admitted to the emergency room with renal calculi. Upon assessment, which of the following findings should the nurse expect?

Nursing Test Bank

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