The nurse is admitting a client with constant, severe flank pain, spasms, nausea and vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the low back to the lower quadrants of the abdomen
The nurse's next action is to: 1. administer pain medication.
2. notify the healthcare provider immediately.
3. obtain a urine specimen for culture.
4. complete the assessment.
2
Rationale 1: Administering pain medication would not be appropriate since the client's symptoms indicate hydroureter. Hydroureter is a complication that occurs when a renal calculus (kidney stone) moves into the ureter and blocks and dilates the ureter. Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; therefore, the healthcare provider should be notified immediately.
Rationale 2: Hydroureter is a complication that occurs when a renal calculus (kidney stone) moves into the ureter and blocks and dilates the ureter. Symptoms include severe pain and spasms, nausea and vomiting, and diminished volume of urine (oliguria). Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; therefore, the healthcare provider should be notified immediately.
Rationale 3: Obtaining a urine specimen for culture would not be appropriate since the client's symptoms indicate hydroureter. Hydroureter is a complication that occurs when a renal calculus (kidney stone) moves into the ureter and blocks and dilates the ureter. Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; therefore, the healthcare provider should be notified immediately.
Rationale 4: Completing the assessment would not be appropriate since the client's symptoms indicate hydroureter. Hydroureter is a complication that occurs when a renal calculus (kidney stone) moves into the ureter and blocks and dilates the ureter. Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function; therefore, the healthcare provider should be notified immediately.
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