A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

"The most common symptom of kidney stones is severe back pain."

"The most common symptom of kidney stones is hematuria (blood in urinE. ."

"The most common symptom of kidney stones is frequent urination."

"The most common symptom of kidney stones is sudden weight loss."

Answer and Explanation

The Correct Answer is B

A. Severe back pain can be a symptom of kidney stones, but it is not the most common one.

B. This is the correct answer. Hematuria, or blood in the urine, is the most common symptom of kidney stones. The blood may be visible or microscopic.

C. Frequent urination can be a symptom of kidney stones, but it is not the most common one.

D. Sudden weight loss is not a symptom commonly associated with kidney stones.

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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. "You will need to be placed under general anesthesia during the procedure." B. "The procedure involves the insertion of a scope into your urinary tract to remove the stone." C. "High-energy shock waves will be used to break up the stone into smaller fragments." D. "You will need to have a urinary catheter inserted after the procedure for several days."

Correct Answer is C

Explanation

A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.

B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.

C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.

D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.

Questions

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A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

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 client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

Correct Answer is C

Explanation

A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?

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 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?

A nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?

A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?