Renal Question #7


A client comes to the emergency department in severe pain from renal colic due to renal lithiasis. Which nursing action will be performed first?


  1. Administer an opioid analgesic as soon as possible.
  2. Instruct the client to strain all urine.
  3. Instruct the client to avoid drinking fluids.
  4. Instruct the client to drink 800 mL of fluids every hour.


The client is experiencing severe flank pain related to renal colic. This type of pain requires analgesic intervention as soon as possible. Administer an opioid analgesic or other pain medication as ordered by the emergency room health care provider (HCP). While it is important to strain urine for stones, it is not the priority at the present and pain is of primary concern. The client should not withhold fluids or have fluids pushed.