Practice Question
Which action will the nurse implement first when the patient with urolithiasis reports spasms of intense flank pain, nausea, and severe dizziness?
Answer Choices:
Correct Answer:
Administer morphine sulfate 4 mg IVA
Rationale:
🔸 The patient is experiencing renal colic, which is a severe pain from urolithiasis due to obstruction.
🔸 Pain management is the immediate priority before hydration or diagnostic testing because uncontrolled pain increases stress response, raises blood pressure, and worsens nausea/dizziness.
🔸 After pain relief, secondary measures such as IV fluids and antiemetics can be addressed.
🔸 Pain control also allows the patient to cooperate better with additional diagnostic or therapeutic procedures.
🔸 NCLEX-style priority care often emphasizes stabilizing acute pain and distress before other non-urgent measures.
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This question is from NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025- which contains 50 questions.
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Which patient will the nurse assess first?
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Which medication will the nurse anticipate incorporating into the plan of care for a patient with pyuria, red blood cells in the urine, fever, nocturia, and a white blood cell count of 14,000/gL?
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Which action will the nurse attribute to the alleviation of a patient's urinary tract infection symptoms during a follow-up visit? Select all that apply. One, some, or all responses may be correct.
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From Exam
NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025-
50 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4