Medical Surgical Renal Lab values & Urine analysis #5

Question

A client is admitted to the hospital with hematuria with visible blood noted in the urine, flank pain, nausea and vomiting. Which of these would the nurse suspect the client is experiencing?

Answers

  1. Renal calculi
    • Rationale:

      This answer is correct because the symptoms of renal calculi or kidney stones would be flank pain, sometimes side pain, nausea, vomiting, and hematuria with visible blood noted in the urine.

  2. Hemorrhoids
    • Rationale:

      This answer is not correct because hemorrhoids occur around the rectum/anus and inside the rectal vault and may bleed at times. The symptoms of renal calculi or kidney stones would be flank pain, sometimes side pain, nausea, vomiting, and hematuria with visible blood noted in the urine.

  3. Stomach ulcers
    • Rationale:

      This answer is not correct because stomach ulcers cause abdominal pain and usually the blood is found in the client’s stool and not in the urine. The symptoms of renal calculi or kidney stones would be flank pain, sometimes side pain, nausea, vomiting, and hematuria with visible blood noted in the urine.

  4. Enlarged prostate
    • Rationale:

      This answer is not correct because an enlarged prostate may have localized pain or rectal pain, trouble urinating, and blood can be found in the urine at times. The symptoms of renal calculi or kidney stones would be flank pain, sometimes side pain, nausea, vomiting, and hematuria with visible blood noted in the urine.

Overview

A client admitted with hematuria with visible blood in the urine, flank pain, nausea and vomiting would be indicative of renal calculi or kidney stones. Renal calculi (kidney stones) are crystals that form in the kidney for various reasons.

Explanation

Learning Outcomes

Renal calculi (kidney stones) are crystals that form in the kidney for various reasons. These calculi can be found anywhere in the urinary tract. The symptoms of renal calculi or kidney stones would be flank pain, sometimes side pain, nausea, vomiting, and hematuria with visible blood noted in the urine. Kidney stones are extremely painful and at times difficult to diagnose. Hemorrhoids are found around the anus or rectal area; stomach ulcers would cause duodenal pain; and a client with an enlarged prostate could have blood in the urine, but the pain would be localized without nausea and vomiting.

Test Taking Tip

When taking tests, always be prepared. Get at least 8 hours of sleep the night before to feel rested. Perform a memory dump when beginning the test.

Video Rationale