A patient with a renal stone develops severe flank pain, fever, and markedly reduced urine output. Which action is the priority?
Correct answer: C. Report possible infected urinary obstruction promptly
- A. Encourage vigorous oral fluids immediately
- B. Apply a warm compress and reassess later
- C. Report possible infected urinary obstruction promptly
- D. Ask the patient to walk until the stone passes
Explanation
Fever with obstruction suggests an infected, obstructed urinary tract, which can rapidly progress to sepsis and requires urgent medical evaluation. The circulation and safety risk takes priority over comfort measures or encouraging fluids before obstruction is assessed.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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50 free Renal and Urological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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