A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Fever

Urinary urgency

Incontinence

Gastrointestinal upset

Flank pain

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.

Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are

located in the lower part of the urinary tract.

Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.

Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.

Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.

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Correct Answer is C

Explanation

Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the

treatment of choice due to this reason alone.

Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.

Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.

Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.

A. Postvoid urine residual measurement B. Blood urea nitrogen (BUN) C. Cystourethrogram D. Creatinine E. Kidney, ureter, bladder (KUB) x-ray F. Bladder scan

Correct Answer is ["A","E","F"]

Explanation

Choice A reason: Postvoid urine residual measurement is a direct method to assess for urinary retention.

Choice B reason: Blood urea nitrogen (BUN) levels may indicate kidney function but not specifically urinary retention.

Choice C reason: A cystourethrogram is used to visualize the bladder and urethra, which may not be the first choice for assessing urinary retention.

Choice D reason: Creatinine levels indicate kidney function but not urinary retention.

Choice E reason: A kidney, ureter, bladder (KUB) x-ray can show the size of the bladder and may indicate retention.

Choice F reason: A bladder scan is a non-invasive way to measure the amount of urine in the bladder and assess for

retention.

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A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

Correct Answer is ["A","E","F"]

Explanation

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