A nurse is assessing a client with suspected kidney stones. The client reports experiencing severe pain in the back and lower abdomen, along with nausea and vomiting. On physical examination, the nurse notes costovertebral angle tenderness. Which type of kidney stones is most likely causing the client's symptoms?
Calcium oxalate stones
Struvite stones
Cystine stones
The Correct Answer is C
A. Uric acid stones may cause pain, but they do not typically present with costovertebral angle tenderness. Uric acid stones are more likely to be associated with gout and hyperuricemia.
B. Calcium oxalate stones are common and can cause pain, but they do not typically cause costovertebral angle tenderness. They are more likely to cause localized pain in the back or side.
C. This is the correct answer. Struvite stones, also known as infection stones, can cause severe pain that radiates to the back and lower abdomen. They are often associated with urinary tract infections, and the presence of an infection can lead to costovertebral angle tenderness.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain with tenderness.
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Naxlex Comprehensive Predictor Exams
Related 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.
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.
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