A patient with urolithiasis is admitted with severe flank pain and hematuria. What is the nurse's priority intervention?
Obtain a urine specimen
Administer prescribed analgesics
Encourage oral fluids
Prepare the patient for surgery
The Correct Answer is B
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}
Explanation
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) → Hyponatremia
Excess ADH leads to water retention, diluting sodium levels.
Addison’s Disease → Hyperkalemia
Adrenal insufficiency leads to decreased aldosterone, causing potassium retention.
Hypoparathyroidism → Hypocalcemia
Lack of parathyroid hormone reduces calcium levels.
Diabetes Insipidus → Hypernatremia
Excessive water loss leads to sodium concentration increase.
Hyperparathyroidism → Hypercalcemia
Excess parathyroid hormone increases calcium release from bones.
Correct Answer is C
Explanation
(A) 0.45% NaCl (Hypotonic Fluid): Used for mild dehydration but can cause fluid shifts leading to cerebral edema.
(B) 3% NaCl (Hypertonic Fluid): Used for severe hyponatremia, not dehydration.
(C) Lactated Ringer’s (LR): This isotonic fluid replaces lost fluids and electrolytes, making it the best choice for severe dehydration, especially in patients with electrolyte imbalances.
(D) D5W: Initially isotonic but becomes hypotonic once glucose is metabolized, leading to fluid shifts into cells, worsening dehydration.
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