When planning care for a client with right ureteral renal calculi, which of the following nursing diagnosis has the less priority of care while caring for this patient?
Impaired urinary elimination related to obstructed flow of urine.
Acute pain related to obstruction by the stone.
Risk for urinary sepsis related to urinary stasis.
Deficient knowledge related to need for prevention of recurrence of calculi.
The Correct Answer is D
Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.
Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.
Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.
Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Dysphagia, substernal burning, and belching are symptoms often associated with hiatal hernia.
Choice B rationale: While substernal burning can be a symptom of stomach-related issues, hiatal hernia is more directly linked to the symptoms described.
Choice C rationale: Schatzki ring might present with dysphagia, but it's less likely given the overall symptoms described.
Choice D rationale: Symptoms of dysphagia and substernal burning can be indicative of a hiatal hernia, especially when considered together.
Correct Answer is B
Explanation
Choice A rationale: Elevated T3 and T4 with low TSH levels are indicative of hyperthyroidism, not a side effect of radioactive iodine treatment.
Choice B rationale: One of the expected side effects of RAI treatment for hyperthyroidism is permanent hypothyroidism (or underactive thyroid, when the thyroid does not produce enough hormones). Elevated TSH levels with low T3 and T4 are indicative of hypothyroidism.
Choice C rationale: Low TSH, T3, and T4 levels are not typical outcomes of radioactive iodine treatment; typically, the treatment leads to a decrease in T3 and T4 with increased TSH levels.
Choice D rationale: Elevated TSH and low T3 is major side effect of radioactive iodine treatment for hyperthyroidism. However, it does not cause elevated T4 levels.
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