A nurse is assessing a client with suspected renal calculi. The client reports experiencing sudden and severe pain in the right flank area that radiates to the groin. The nurse notes that the client is restless and unable to find a comfortable position. What type of renal calculi is most likely causing the client's symptoms?
Calcium oxalate stones
Uric acid stones
Struvite stones
C
The Correct Answer is B
A. Calcium oxalate stones may cause pain, but they do not typically radiate to the groin. They are more likely to cause localized pain in the back or side.
B. This is the correct answer. Uric acid stones can cause sudden and severe pain that radiates from the back to the groin. The pain is often described as colicky and is associated with restlessness.
C. Struvite stones are typically associated with urinary tract infections and may not cause the sudden and severe pain described in the question.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diarrhea and abdominal cramping are not typically associated with kidney stone pain. These symptoms are more commonly seen in gastrointestinal disorders.
B. Painful and frequent urination may occur if the stone causes irritation in the bladder or urethra, but it is not a direct symptom of kidney stone pain.
C. Fatigue and generalized weakness are not specific symptoms of kidney stone pain. They may be associated with other medical conditions but are not directly related to renal calculus.
D. This is the correct answer. Nausea and vomiting are common symptoms that may accompany kidney stone pain, especially if the stone causes obstruction in the urinary tract. The pain and irritation can trigger a reflex that leads to nausea and vomiting.
Correct Answer is A
Explanation
A. This is the correct answer. After a ureteroscopy, the client may experience postoperative urinary retention due to swelling or irritation in the urethra or bladder. The nurse should monitor for signs of urinary retention and take appropriate measures to address it.
B. Hyperkalemia is not directly related to ureteroscopy. It may occur in certain medical conditions but is not a common complication of this procedure.
C. Hypertension is not directly related to ureteroscopy. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of the procedure itself.
D. Hypoglycemia is not related to ureteroscopy. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.
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.