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
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 A
Explanation
Choice A reason: The serum creatinine test measures the amount of creatinine in the blood and provides information about kidney function. Normal ranges for serum creatinine levels are 0.74 to 1.35 mg/dL for adult men and 0.59 to
1.04 mg/dL for adult women. This test is a common way to assess renal function and can indicate if the kidneys are not filtering waste effectively.
Choice B reason: While a serum creatinine test can indicate severe renal impairment, it does not diagnose a specific disease. Further testing would be required to determine the presence of a particular renal disease.
Choice C reason: The serum creatinine test does not directly show if medications are affecting kidney function. However, if a patient is on medications known to affect the kidneys, such as certain steroids, changes in creatinine levels can suggest an impact on renal function.
Choice D reason: It is part of the nurse's role to provide information about tests and procedures. Telling a patient to ask the doctor does not offer immediate support or information, which can be important for patient care and understanding.

Correct Answer is ["2"]
Explanation
Step 1: The total amount of olanzapine required per dose is 20 mg.
Step 2: Each tablet contains 10 mg of olanzapine.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 20 mg ÷ 10 mg/tablet.
Step 4: The result is 2 tablets.
So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.
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