Free NCLEX-RN Exam Braindumps (page: 243)

Page 243 of 431

An obstructing stone in the renal pelvis or upper ureter causes:

  1. Radiating pain into the urethra with labia pain experienced in females or testicular pain in males
  2. Urinary frequency and dysuria
  3. Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor
  4. Dull, aching, back pain

Answer(s): C

Explanation:

(A) Radiating pain in the urethra in both sexes, extending into the labia in females and into the testicle or penis in the male, indicates a stone in the middle or lower segment of the ureter. (B) Urinary frequency and dysuria are caused by a stone in the terminal segment of the ureter withinthe bladder wall. (C) An obstructing stone in the renal pelvis or upper ureter causes severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor. (D) Dull and aching pain may indicate early stages of hydronephrosis. Also, a stone in the renal pelvis or upper ureter causes severe flank and abdominal pain.



An obstructing stone in the renal pelvis or upper ureter causes:

  1. Radiating pain into the urethra with labia pain experienced in females or testicular pain in males
  2. Urinary frequency and dysuria
  3. Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor
  4. Dull, aching, back pain

Answer(s): C

Explanation:

(A) Radiating pain in the urethra in both sexes, extending into the labia in females and into the testicle or penis in the male, indicates a stone in the middle or lower segment of the ureter. (B) Urinary frequency and dysuria are caused by a stone in the terminal segment of the ureter withinthe bladder wall. (C) An obstructing stone in the renal pelvis or upper ureter causes severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor. (D) Dull and aching pain may indicate early stages of hydronephrosis. Also, a stone in the renal pelvis or upper ureter causes severe flank and abdominal pain.



A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

  1. D5in normal saline
  2. D5W
  3. 0.9 normal saline
  4. D5in lactated Ringer's

Answer(s): C

Explanation:

(A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringer's lactate would increase serum glucose.



A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

  1. D5in normal saline
  2. D5W
  3. 0.9 normal saline
  4. D5in lactated Ringer's

Answer(s): C

Explanation:

(A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringer's lactate would increase serum glucose.



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