You are caring for a patient with renal dysfunction. The patient tells you that the pain in their right flank has gotten worse. Why would you notify the physician of the increased pain?
A) Pain promotes dilute urine and flushing of the lower urinary tract.
B) Delayed emptying of the bladder and poor hygiene may contribute to pain secondary to renal or urinary tract dysfunction.
C) Pain may indicate progression or recurrence of dysfunction, or untoward signs.
D) A high level of fear or apprehension can interfere with learning and cooperation.
Ans: C
Feedback: Report increased pain to the physician, as it may indicate progression or recurrence of dysfunction, or untoward signs (calculi or bleeding). Pain does not promote dilute urine or flushing of the lower urinary tract. Pain does not delay emptying of the bladder. Pain can cause a high level of fear or apprehension that interferes with learning, but you wouldn't notify the physician of it.
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