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: In the oliguric phase of acute kidney injury, the creatinine level is expected to increase, not decrease, due to impaired kidney function and decreased filtration.
Choice B reason: The GFR is expected to decrease in acute kidney injury, not increase, as the kidneys' ability to filter
blood is compromised.
Choice C reason: Hyperkalemia, or high potassium levels in the blood, is a common finding in the oliguric phase of acute kidney injury due to decreased excretion of potassium by the kidneys.
Choice D reason: Hypomagnesemia, or low magnesium levels, is not typically associated with the oliguric phase of acute kidney injury. Instead, hypermagnesemia may occur due to decreased excretion of magnesium.
Correct Answer is B
Explanation
Choice A reason: A strong odor in the first-voided urine can be normal, especially if it's concentrated after a night's sleep.
Choice B reason: An output of 175 mL in 8 hours is concerning, as it indicates oliguria, which is a urine output of less than 400 mL in 24 hours, and can be a sign of worsening renal function.
Choice C reason: An output of 2,200 mL in 24 hours is within normal urine output ranges, which is typically 800 to 2,000 mL per day for an average adult.
Choice D reason: Urine becoming cloudy after sitting for a period is common due to precipitation of salts and proteins at lower temperatures.
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.