What pain description is the client with renal calculi most likely to report during an assessment?
A feeling of pressure in the bladder.
A mild, burning pain when urinating.
Sharp, severe flank pain that occurs suddenly.
A constant, dull, aching pain in the right upper quadrant.
The Correct Answer is C
This is because renal calculi can cause renal colic, which is a sudden and intense pain in the flank area that radiates to the groin or testicles.
The pain is caused by the stone obstructing the ureter and triggering spasms.
Choice A is wrong because a feeling of pressure in the bladder is more likely to indicate a lower urinary tract infection or an overactive bladder.
Choice B is wrong because a mild, burning pain when urinating is more likely to indicate a urinary tract infection or a urethral injury.
Choice D is wrong because a constant, dull, aching pain in the right upper quadrant is more likely to indicate a liver or gallbladder problem.
Normal ranges for urine pH are 4.5 to 8.0, and for specific gravity are 1.005 to 1.030.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
My spouse will just have to put up with any new irritability. This statement indicates that the client requires further educational reinforcement about the medication because phenelzine is an antidepressant that should improve the mood and reduce irritability. The client may also need to be assessed for possible adverse effects of phenelzine, such as agitation, insomnia, or hypomania.
Choice A is wrong because it is a correct statement. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with foods that contain tyramine, such as cheese and caffeine, and cause a hypertensive crisis.
The client should avoid excessive amounts of these foods while taking phenelzine.
Choice C is wrong because it is also a correct statement. Phenelzine can cause orthostatic hypotension, which is a drop in blood pressure when changing positions.
The client should change positions slowly, as dizziness may occur.
Choice D is wrong because it is partially correct. Phenelzine can cause headaches, which may be a sign of a hypertensive crisis.
Correct Answer is D
Explanation
This is because the prescribed dose is 1 tablespoon, which is equivalent to 15 ml. Therefore, to get the amount of milliliters for each dose, you need to multiply 15 ml by 2, which gives you 30 ml.
Choice A is wrong because 10 ml is less than 1 tablespoon.
Choice B is wrong because 5 ml is equal to 1 teaspoon, which is one-third of a tablespoon.
Choice C is wrong because 15 ml is equal to 1 tablespoon, which is half of the prescribed dose.
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