A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

Sharp, stabbing pain in the lower abdomen

Dull ache in the upper back and flank region

Burning sensation during urination

Constant, generalized abdominal discomfort

Answer and Explanation

The Correct Answer is B

A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.

B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.

C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.

D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.

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Correct Answer is A

Explanation

A. This is the correct answer. High dietary calcium intake is a common risk factor for certain types of kidney stones, particularly calcium oxalate stones. However, dietary calcium intake from food sources is not typically associated with an increased risk of kidney stones. Calcium supplements, on the other hand, may contribute to stone formation.

B. A low protein diet is not a significant risk factor for kidney stones. High-protein diets may be associated with an increased risk, but low protein intake is not a concern.

C. Adequate water consumption is essential to prevent kidney stones. Dehydration is a risk factor for stone formation, but excessive water consumption alone is not a significant risk factor.

D. While a sedentary lifestyle may be associated with other health risks, it is not a primary risk factor for kidney stones.

A. "You will need to be placed under general anesthesia during the procedure." B. "The procedure involves the insertion of a scope into your urinary tract to remove the stone." C. "High-energy shock waves will be used to break up the stone into smaller fragments." D. "You will need to have a urinary catheter inserted after the procedure for several days."

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.

Questions

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A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

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Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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