A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?
Fever and chills
Blood in the urine
Difficulty starting the urine stream
Frequent urge to urinate
The Correct Answer is B
A. Fever and chills are more commonly associated with a urinary tract infection, which can sometimes be a complication of kidney stones. However, the severe pain described is more likely related to the presence of the stone itself.
B. This is the correct answer. Blood in the urine, also known as hematuria, is a common symptom of kidney stones. As the stone moves through the urinary tract, it may cause irritation and small blood vessels may be damaged, resulting in blood in the urine.
C. Difficulty starting the urine stream is not a specific symptom of kidney stones. It may be seen in other urinary conditions but is not typically associated with stones.
D. The frequent urge to urinate may be experienced if the stone causes irritation in the bladder, but it is not the most common symptom associated with kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. ESWL is a non-invasive procedure, and it does not require a hospital stay. It is typically performed on an outpatient basis.
B. This is not entirely accurate. ESWL is a non-invasive procedure that does not require general anesthesia. Instead, the client may be given sedation or local anesthesia.
C. It is essential to maintain adequate hydration after ESWL to help pass the broken-up stone fragments. Avoiding all fluids for 24 hours is not recommended and may lead to dehydration.
D. This is the correct answer. ESWL uses shock waves to break up kidney stones, and the client will need to remain still during the procedure to ensure precise targeting of the stones. The procedure is usually painless, but some discomfort may be experienced during the process.
Questions
Correct Answer is B
Explanation
A. This is not the correct answer. Renal calculi are not bacterial infections but rather solid masses that form from mineral and acid salts in the kidneys.
B. This is the correct answer. Renal calculi, commonly known as kidney stones, are solid masses formed from mineral and acid salts that accumulate in the kidneys.
C. Renal calculi are not benign tumors. They are distinct from tumors and do not have the same characteristics.
D. Renal calculi are not blood clots. Blood clots can block the urinary tract, but they are not the same as kidney stones.
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