While collecting data, the nurse suspects that a patient is experiencing renal calculi. What did the nurse assess to come to this conclusion? (Select all that apply.)
a. Nausea
b. Flank pain
c. Fever and chills
d. Costovertebral tenderness
e. Pain radiating to the genitalia
ANS: A, B, D, E
Symptoms of renal calculi include excruciating flank pain and renal colic. When a stone is lodged in the ureter, it is common to have pain radiate down to the genitalia. The pain results when the stone prevents urine from draining. The patient also may have costovertebral tenderness. Some people develop nausea because of the proximity of the gastrointestinal structures. C. Fever and chills are not manifestations of renal calculi.
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