A Nurse Assesses a Patient With Renal Calculi and Expects to Find What Clinical Manifestations?

This is a quiz that contains NCLEX review questions for renal calculi (renal stones). As a nurse providing care to a patient with a kidney stone, it is of import to know the signs and symptoms, pathophysiology, nursing management, patient instruction, and treatment.

In the previous NCLEX review serial, I explained almost other renal disorders you may exist asked nigh on the NCLEX exam, so be certain to check out those reviews and quizzes too.

Don't forget to watch the renal rock lecture prior to taking the quiz.

Renal Calculi (Kidney Stones) NCLEX Questions

This quiz will test your knowledge about renal stones in preparation for the NCLEX exam.

• ane. You're providing an in-service to a group of nurses virtually the different types of kidney stones. Y'all explain to the attendees that the most common blazon of kidney stone is made up of: *
  • A. Cholesterol
  • B. Calcium and oxalate
  • C. Calcium and phosphate
  • D. Uric acrid
• ii. Which patient below is at MOST gamble for developing uric acid blazon kidney stones? *
  • A. A 53 year old female with recurrent urinary tract infections.
  • B. A 6 year sometime male person with cystinuria.
  • C. A 63 twelvemonth male with gout.
  • D. A 25 year old female that follows a vegan diet and study eating high amounts of spinach and strawberries on a regular ground.
• 3. A patient is scheduled for an intravenous pyelogram (IVP) to assess for kidneys stones. Which finding below requires the nurse to contact the dr.? *
  • A. Patient reports flank pain that radiates downward
  • B. Patient has hematuria
  • C. Patient is allergic to shellfish
  • D. Patient has cloudy urine
• 4. The physician orders a 24-hour urine drove on a patient with recurrent kidney stones. As the nurse you know that the specimen should be? *
  • A. Kept at room temperature
  • B. Kept on water ice or refrigerated
  • C. Sent to the lab every four hours
  • D. Kept at a temperature between 98.6 'F to 99.iii'F
• v. You lot're providing care to a patient with a uric acid kidney stone that is 2 mm in size per diagnostic imaging. The patient is having astringent pain and rates their hurting ten on 1-10 scale. The doctor has ordered a treatment plan to help the patient in passing the kidney stone. What nursing intervention is PRIORITY for this patient based on the scenario? *
  • A. Administer pain medication
  • B. Encourage fluid intake of 2-4 liters per day
  • C. Massage the costovertebral area
  • D. Implement a high protein nutrition
• 6. A patient with a kidney stone explains that the hurting he is experiencing is intense, sharp, and wavelike that radiates to the scrotum. In add-on, he explains it feels like he has to void but a small amount of urine is passed. Based on the patient's signs and symptoms, where may the kidney stone exist located? *
  • A. Renal Calyx
  • B. Renal Papilla
  • C. Ureter
  • D. Urethra
• 7. You're developing a nursing care plan for a patient with a kidney stone. Which of the post-obit nursing interventions volition you include in the patient'southward plan of care? *
  • A. Restrict calcium intake
  • B. Strain urine with every void
  • C. Keep patient in supine position to alleviate pain
  • D. Maintain fluid restriction of 1-2 Liter per mean solar day
• 8. Y'all're providing discharge teaching to a patient who was hospitalized for the treatment of a kidney stone. The type of kidney stone the patient experienced was a uric acrid type stone. What blazon of foods will yous brainwash the patient to avert? *
  • A. Cabbage, spinach, tomatoes, strawberries
  • B. Water ice cream, milk, pork, cheese
  • C. Beans, potatoes, corn, peas
  • D. Liver, scallops, anchovies, sardines, pork
• 9. Your patient arrives dorsum to their room afterward having extracoporeal shock wave lithotripsy (ESWL) for treatment of a kidney stone. What volition be included in the patient's plan of care? SELECT-ALL-THAT-APPLY: *
  • A. Keep the patient in bed
  • B. Encourage fluid intake of iii-four liters per mean solar day
  • C. Maintain nephrostomy tube
  • D. Strain urine
  • E. Keep dressing dry and intact
• 10. You are providing pre-op didactics to a patient scheduled for a percutaneous nephrolithotomy. Which argument past the patient demonstrates the patient understood the pre-op pedagogy? *
  • A. "During the procedure the surgeon will move the rock downward the ureter, and so I tin pass the stone in the urine.
  • B. "I may have a nephrostomy tube after the procedure."
  • C. "A telescopic is inserted through the urinary system from the urethra to the kidneys to assess the kidney rock."
  • D. "This procedure is noninvasive and no incision is required."

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Renal Calculi (Kidney Stones) NCLEX Question Quiz

i. You're providing an in-service to a group of nurses nearly the dissimilar types of kidney stones. You lot explain to the attendees that the most common type of kidney stone is made up of:

A. Cholesterol

B. Calcium and oxalate

C. Calcium and phosphate

D. Uric acid

2. Which patient below is at MOST gamble for developing uric acid type kidney stones?

A. A 53 year quondam female person with recurrent urinary tract infections.

B. A six yr old male person with cystinuria.

C. A 63 year male with gout.

D. A 25 year old female that follows a vegan nutrition and report eating high amounts of spinach and strawberries on a regular footing.

3. A patient is scheduled for an intravenous pyelogram (IVP) to appraise for kidneys stones. Which finding below requires the nurse to contact the physician?

A. Patient reports flank pain that radiates down

B. Patient has hematuria

C. Patient is allergic to shellfish

D. Patient has cloudy urine

iv. The doctor orders a 24-hour urine collection on a patient with recurrent kidney stones. As the nurse you know that the specimen should be?

A. Kept at room temperature

B. Kept on ice or refrigerated

C. Sent to the lab every 4 hours

D. Kept at a temperature between 98.6 'F to 99.3'F

5. You're providing care to a patient with a uric acrid kidney rock that is ii mm in size per diagnostic imaging. The patient is having severe pain and rates their pain 10 on 1-10 scale. The doctor has ordered a treatment program to assistance the patient in passing the kidney stone. What nursing intervention is PRIORITY for this patient based on the scenario?

A. Administrate pain medication

B. Encourage fluid intake of 2-iv liters per mean solar day

C. Massage the costovertebral area

D. Implement a high protein diet

half dozen. A patient with a kidney rock explains that the hurting he is experiencing is intense, abrupt, and wavelike that radiates to the scrotum. In addition, he explains it feels like he has to void but a small corporeality of urine is passed. Based on the patient's signs and symptoms, where may the kidney stone be located?

A. Renal Calyx

B. Renal Papilla

C. Ureter

D. Urethra

7. You're developing a nursing intendance plan for a patient with a kidney rock. Which of the post-obit nursing interventions will you include in the patient's programme of care?

A. Restrict calcium intake

B. Strain urine with every void

C. Proceed patient in supine position to alleviate pain

D. Maintain fluid brake of 1-two Liter per day

8. You're providing discharge teaching to a patient who was hospitalized for the handling of a kidney stone. The blazon of kidney stone the patient experienced was a uric acrid blazon stone. What type of foods will you educate the patient to avoid?

A. Cabbage, spinach, tomatoes, strawberries

B. Ice foam, milk, pork, cheese

C. Beans, potatoes, corn, peas

D. Liver, scallops, anchovies, sardines, pork

9. Your patient arrives back to their room afterwards having extracoporeal daze moving ridge lithotripsy (ESWL) for treatment of a kidney stone. What will exist included in the patient's plan of care? SELECT-ALL-THAT-Apply:

A. Go on the patient in bed

B. Encourage fluid intake of 3-4 liters per day

C. Maintain nephrostomy tube

D. Strain urine

E. Proceed dressing dry and intact

ten. You are providing pre-op teaching to a patient scheduled for a percutaneous nephrolithotomy. Which statement by the patient demonstrates the patient understood the pre-op teaching?

A. "During the procedure the surgeon will move the stone downwards the ureter, so I tin pass the stone in the urine.

B. "I may take a nephrostomy tube later the process."

C. "A telescopic is inserted through the urinary system from the urethra to the kidneys to appraise the kidney stone."

D. "This procedure is noninvasive and no incision is required."

Answer Key
1. B
2. C
3. C
4. B
5. A
6. C
vii. B
8. D
ix. B, D
ten.B

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