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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale
A high protein diet is not recommended for clients with biliary colic from chronic cholecystitis as it can increase bile production and exacerbate symptoms.
Choice B rationale
A high fiber diet is beneficial for overall health but does not specifically address the needs of clients with biliary colic.
Choice C rationale
A low sodium diet is beneficial for overall health but does not specifically address the needs of clients with biliary colic.
Choice D rationale
A low fat diet is recommended for clients with biliary colic from chronic cholecystitis as it reduces the workload on the gallbladder and decreases the risk of gallstone formation.

A. Sweating. B. Tachycardia. C. Polydipsia. D. Polyuria.

Correct Answer is D

Explanation

Choice A rationale
Sweating is incorrect. While sweating can be a symptom of hypoglycemia, it is not a specific indicator of effective diabetes management.
Choice B rationale
Tachycardia is incorrect. Tachycardia can occur during hypoglycemia due to the body’s release of adrenaline, but it is not a specific indicator of effective diabetes management.
Choice C rationale
Polydipsia is incorrect. Polydipsia, or excessive thirst, is a symptom of hyperglycemia, indicating poor blood sugar control.
Choice D rationale
Polyuria is correct. Polyuria, or frequent urination, is a symptom of hyperglycemia. Effective diabetes management aims to reduce hyperglycemia and its symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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