A client has a large renal calculus. Which assessment finding may indicate the development of a complication?
a. Blood pressure of 178/94 mmHg
b. Urine output of 5600 mL/24 hr
c. Client reports of pain on urination
d. Asymmetric, tender flank area
D
Hydronephrosis, indicated by an asymmetric flank with tenderness, is commonly caused by ob-struction such as a renal calculus. As the kidney continues to make urine, the volume of urine backs up into the kidney, increasing pressure, and the kidney is enlarged as a result. An asymme-tric tender flank would be one manifestation of this condition. Polyuria, dysuria, and hyperten-sion are not complications associated with renal calculi.
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The nurse assesses that the patient is in shock based on the findings of:
1. lack of urine output in the last hour, thready pulse, shallow respirations, decreased BP, and patient crying softly. 2. failure of the neurological system, thready pulse, decreased respirations, de-creased BP, and decreased LOC. 3. failure of the renal system with bounding pulse, shallow respirations, decreased BP, 300 mL urine in the last hour, displaying unfounded anger. 4. unable to arouse patient, temperature 99.2ยบ F, pulse 100, respiration 30, BP 120/78.
A client tells the nurse about experiencing sudden flashes of light, blurred vision, and floating spots. The nurse should recommend that the client seek evaluation by a health care provider for which condition?
a. cataracts c. keratitis b. glaucoma d. retinal detachment
What part of a client's history is important to note prior to a hystersalpingogram?
a. history of claustrophobia b. ability to swallow barium c. allergies to iodine or dye d. presence of metal objects in the body
A woman and man who have come to the health clinic begin to argue loudly. "You gave me an STD!" the man yells. The woman screams back, "Not me. I don't have an STD!"
Which of the following statements would be most appropriate for the nurse to say to them? (Select all that apply.) a. "Actually, you're very fortunate to have been tested so you and your partner can begin treatment before more serious damage is done." b. "Some STDs may not have any symptoms, so you need to be tested for other conditions and treated if necessary." c. "Sometimes the test is inaccurate, so before getting too upset, you should ask to be tested again." d. "You may be able to get treatment from your pharmacist so you won't have to be embarrassed like this again."