Which observation by the nurse indicates that a male client diagnosed with kidney stones is experiencing renal colic?

Pain while urinating

Oliguria with hypoalbuminemia

Incontinence

Severe flank pain radiating to the testicle

Answer and Explanation

The Correct Answer is D

A.   This is a symptom of urinary tract infection, not renal colic.
B.   This indicates kidney damage, which may occur as a complication of untreated kidney stones, but it's not a typical symptom of renal colic itself.
C.   This is not a symptom of renal colic.
D.   This is a classic symptom of renal colic, which is caused by the passage of a kidney stone through the ureter. The pain is often described as excruciating and can radiate to the groin or testicle.

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Correct Answer is D

Explanation

A. While costovertebral tenderness is significant and indicates kidney involvement, it is a common symptom of acute pyelonephritis and not necessarily a sign of deterioration. Immediate notification may not be warranted unless other concerning symptoms are present.
B. Although back massage may seem comforting, it is not indicated in this scenario. The kidneys are inflamed, and massage could exacerbate pain or discomfort. It does not address the underlying condition or the pain effectively.
C. The prone position is not typically recommended for clients with pyelonephritis. Instead, the client may be more comfortable in a position that does not put pressure on the kidneys, such as sitting up or lying on their back or side. This intervention does not directly address the pain or comfort of the client.
D. Offering an analgesic is the most appropriate action. Pain management is crucial for the comfort of the client, and an analgesic can help alleviate the discomfort associated with costovertebral tenderness. If the physician has prescribed an analgesic, administering it would be in line with promoting comfort and addressing the client’s needs.

A. Supine with the right leg extended and flat B. High-Fowler's with the right leg extended C. Semi-Fowler's with the right leg on two pillows D. Supine with the right leg flexed at a 45-degree angle

Correct Answer is C

Explanation

A. This position can increase pressure on the surgical site and hinder blood flow.
B. This position can also increase pressure on the surgical site and may be uncomfortable for the client.
C. This position promotes venous return, reduces swelling, and minimizes pressure on the surgical site.
D. This position can increase pressure on the surgical site and may hinder blood flow.

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Which observation by the nurse indicates that a male client diagnosed with kidney stones is experiencing renal colic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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