A client presents to the emergency department and is diagnosed with nephrolithiasis.
Which clinical manifestation indicates infection may also be present?
Blood tinged urine
Colicky flank pain
Chills
Nausea
The Correct Answer is C
Choice A rationale
While blood-tinged urine can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Choice B rationale
Colicky flank pain is a common symptom of nephrolithiasis, but it does not necessarily indicate the presence of an infection.
Choice C rationale
Chills are often a sign of an infection. If a patient with nephrolithiasis is experiencing chills, it could indicate that an infection is also present.
Choice D rationale
While nausea can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Insulin plays a crucial role in decreasing blood glucose levels by facilitating the movement of glucose into cells, thereby reducing blood glucose concentrations (nih.gov, n.d.).
Choice A rationale
Glucocorticoids, such as cortisol, generally increase blood glucose levels by promoting gluconeogenesis (nih.gov, n.d.).
Choice B rationale
Glucagon acts to increase blood glucose levels by stimulating the liver to release stored glucose (nih.gov, n.d.).
Choice D rationale
Calcitonin is involved in calcium regulation and has no direct effect on blood glucose levels (Healthline, 2022).
Correct Answer is D
Explanation
Choice A rationale
While a urinary tract infection (UTI) can cause discomfort and pain, it typically does not cause a palpable mass in the costovertebral angle.
Choice B rationale
Gout is a form of arthritis that causes severe pain and swelling in the joints, not typically in the costovertebral angle.
Choice C rationale
Renal calculi, or kidney stones, can cause severe pain, but they do not typically cause a palpable mass in the costovertebral angle.
Choice D rationale
Renal cell carcinoma, a type of kidney cancer, can cause a palpable mass in the costovertebral angle. This is because the tumor can grow large enough to be felt through the skin.
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