Medical Surgical Kidney stones #2

Question

The nurse assesses a female client with a history of renal calculi who reports severe pain in the groin and bladder. The nurse will assess the client for signs of which complication? Select the best answer.

Answers

  1. Pyelonephritis.
    • Rationale:

      This answer is not correct because pyelonephritis inflammation of the kidney due to a urinary tract infection (UTI). This can be a complication of renal calculi. However, the severe pain reported by the client should be assessed for additional stone formation first.

  2. Hydronephrosis.
    • Rationale:

      Hydronephrosis is defined as a condition characterized by excess fluid in a kidney due to a backup of urine. The pain associated with hydronephrosis is usually not severe and there is a feeling of urgency.

  3. Urinary retention.
    • Rationale:

      Urinary retention is defined as difficulty urinating and completely emptying the bladder. The severe pain reported by the client is not associated with this diagnosis.

  4. Additional stone formation.
    • Rationale:

      Based on the client’s history and current symptoms the nurse assesses the client for additional stone formation. Clients with a history of renal calculi are at an increased risk for recurrence. Female clients may have pain from renal calculi in the groin and bladder. Nausea, vomiting, and flank pain may also be present.

Overview

Renal calculi (i.e., kidney stone) is defined as a hard, small deposit that forms in the kidneys and is often painful when passed.

Explanation

Learning Outcomes

The nurse will assess for additional stone formation. Female clients may have pain from renal calculi in the groin and bladder. In males, the pain may be located in the testicles. Nausea, vomiting, and flank pain may also be present.

Test Taking Tip

Consider the client’s symptoms and each choice to answer this question correctly.

Video Rationale