What type of urinary tract pain is she most likely to have?
A 27-year-old policewoman comes to your clinic, complaining of severe left-sided back pain radiating down into her groin. It began in the middle of the night and woke her up suddenly. It hurts in her bladder to urinate but she has no burning on the outside. She has had no frequency or urgency with urination but she has seen blood in her urine. She has had nausea with the pain but no vomiting or fever. She denies any other recent illness or injuries. Her past medical history is unremarkable. She denies tobacco or drug use and drinks alcohol rarely. Her mother has high blood pressure and her father is healthy. On examination she looks her stated age and is in obvious pain. She is lying on her left side trying to remain very still. Her cardiac, pulmonary, and abdominal examinations are unremarkable. She has tenderness just inferior to the left costovertebral angle. Her urine pregnancy test is negative and her urine analysis shows red blood cells.
A) Kidney pain (from pyelonephritis)
B) Ureteral pain (from a kidney stone)
C) Musculoskeletal pain
D) Ischemic bowel pain
B) Ureteral pain (from a kidney stone)
The pain from a kidney stone causes dramatic, severe, colicky pain at the costovertebral angle that radiates across the flank and down into the groin.
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A patient tells the nurse that the cardiologist has told her that she will likely need a mitral valve replacement in a few years. The nurse can best hear her mitral valve
1. Over the apex of the left ventricle. 2. At the second intercostal space to the right of the sternum. 3. At the second intercostal space to the left of the sternum. 4. At the fourth intercostal space just to the left of the sternum.
What can a nurse do on an individual level to reduce pollution in the environment?
1. Provide a tax incentive to factories that do not pollute 2. Make laws related to allowed levels of pollution in the area 3. Choose a less-polluting car 4. Move to an area with less pollution
A child is receiving total parenteral nutrition (TPN; hyperalimentation)
At the end of 8 hours, the nurse observes the solution and notes that 200 mL/8 hr is being infused rather than the ordered amount of 300 mL/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours? a. 200 mL c. 350 mL b. 300 mL d. 400 mL