A client with a renal calculus reports severe right flank pain, nausea, and vomiting.
Which nursing problem has the highest priority?
Acute pain related to renal calculus.
Nutritional deficit related to nausea.
Impaired renal function related to pain.
Risk for aspiration related to vomiting.
The Correct Answer is D
A. Acute pain related to renal calculus is important and needs to be addressed, but managing potential life-threatening conditions, like aspiration, takes precedence.
B. Nutritional deficit related to nausea is also a concern but is not as urgent as preventing aspiration.
C. Impaired renal function related to pain could be important in the long term, but it does not pose an immediate risk like aspiration does. Therefore, it is not the highest priority.
D. Risk for aspiration related to vomiting is the highest priority because it addresses the immediate potential for airway compromise, which can be life-threatening if the client aspirates vomitus. Ensuring the airway is protected and that aspiration does not occur is critical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bronze pigmentation is not typically associated with compromised peripheral arterial circulation but may be seen in conditions like hemochromatosis.
B. Lower leg edema is more commonly associated with venous insufficiency rather than compromised arterial circulation.
C. Uneven hair distribution, such as decreased hair growth on the lower extremity, is indicative of compromised peripheral arterial circulation due to reduced blood flow to the area.
D. Bounding peripheral pulse is not typically associated with compromised peripheral arterial circulation but may indicate increased stroke volume or arterial stiffness.
Correct Answer is A
Explanation
A. Reviewing the white blood cell (WBC) count is important because purulent drainage suggests infection, and an elevated WBC count may indicate an inflammatory response to infection.
B. Hematocrit is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
C. Blood pH level is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
D. Platelet count is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today