A client presents to the clinic with symptoms of severe flank pain with spasms, nausea, vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the lower back to the lower quadrants of the abdomen
The nurse's next action is which of the following? 1. Call a urologist immediately
2. Obtain a urine specimen for culture
3. Complete the physical assessment
4. Instruct the client to increase fluids
1. Call a urologist immediately
Rationale:
Hydroureter is a complication that occurs when a renal calculus moves into the ureter and blocks and dilates the ureter. Symptoms include severe pain and spasms, nausea, vomiting, and diminished volume of urine. Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; medical collaboration should be initiated immediately. All other options, while important to complete, would not be appropriate in an emergency situation.
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