A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?
The client admitted to the hospital who has clinical findings of periorbital edema, dark frothy urine, and elevated blood pressure.
The client admitted to the hospital who has clinical findings of severe flank pain, nausea, and vomiting.
The client admitted to the hospital who has clinical findings of polyuria, nocturia, proteinuria, and a palpable kidney mass.
The client admitted to the hospital who has clinical findings of urinary urgency, weak urine stream, and dysuria.
The Correct Answer is B
Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.
Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.
Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.
Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: pH 7.30 with elevated HCO3- and PaCO2 suggests compensated respiratory acidosis, not typical for chronic kidney disease.
Choice B reason: pH 7.55 with elevated HCO3- and low PaCO2 suggests metabolic alkalosis, which is not typical for chronic kidney disease.
Choice C reason: pH 7.25 with decreased HCO3- and PaCO2 suggests metabolic acidosis, which is expected in chronic kidney disease due to the accumulation of acids.
Choice D reason: pH 7.50 with low HCO3- and PaCO2 suggests compensated metabolic alkalosis, which is not typical for chronic kidney disease.
Correct Answer is B
Explanation
Choice A reason: Diagnosis is the identification of a disease or condition, which is not directly related to reviewing kidney function test data.
Choice B reason: Assessment involves collecting and analyzing data, which is what the nurse is doing when reviewing kidney function test results.
Choice C reason: Implementation refers to carrying out interventions, not reviewing test data.
Choice D reason: Outcomes identification involves setting goals and expected outcomes, not reviewing test data.
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