A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?
Monitor intake and output.
Administer pain medication.
Ambulate in hall.
Strain the urine.
The Correct Answer is B
Choice A rationale
Monitoring intake and output is important but not the first priority. The immediate concern is to address the client’s pain.
Choice B rationale
Administering pain medication is the first priority. Managing the client’s pain will help alleviate discomfort and allow for further assessment and treatment.
Choice C rationale
Ambulating in the hall is not appropriate for a client experiencing flank pain and nausea. It could exacerbate the symptoms.
Choice D rationale
Straining the urine is important for identifying any stones, but it is not the first priority. Pain management should be addressed first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Diaphoresis is incorrect. Diaphoresis, or excessive sweating, is not a typical symptom of end- stage kidney disease.
Choice B rationale
Hypotension is incorrect. While hypotension can occur in end-stage kidney disease, it is not as common as other symptoms like edema.
Choice C rationale
Peripheral edema is correct. Peripheral edema is a common symptom of end-stage kidney disease due to the kidneys’ inability to remove excess fluid from the body.
Choice D rationale
Facial flushing is incorrect. Facial flushing is not a typical symptom of end-stage kidney disease.
Correct Answer is C
Explanation
Choice A rationale
A serum creatinine test does not inform the provider about anemia. Anemia is typically diagnosed through a complete blood count (CBC) test, which measures the levels of hemoglobin and hematocrit in the blood.
Choice B rationale
A serum creatinine test does not provide information about infections. Infections are usually diagnosed through clinical evaluation and specific tests such as blood cultures, urine cultures, or imaging studies.
Choice C rationale
A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
Choice D rationale
A serum creatinine test does not provide information about thyroid disorders. Thyroid function is typically assessed through tests that measure levels of thyroid hormones (T3 and T4) and thyroid-stimulating hormone (TSH) in the blood.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.