Practice Question
Which patient will the nurse assess first?
Answer Choices:
Correct Answer:
28-year-old with urolithiasis who has been receiving morphine sulfate and has not voided for 8 hours
Rationale:
🔹 This patient is the priority because inability to void for 8 hours while receiving opioids suggests acute urinary retention or obstruction, which can lead to hydronephrosis and kidney damage if unaddressed.
🔹 Urolithiasis (stone formation) is associated with severe pain and potential blockage of urine flow; when combined with opioid-induced urinary retention, the risk of bladder distension and renal impairment increases.
🔹 Unlike the other patients, this situation reflects an urgent compromise in elimination that could worsen rapidly.
🔹 Early intervention may require catheterization or imaging to evaluate obstruction.
🔹 Prioritization is based on ABCs and Maslow’s hierarchy, and here, elimination (a physiologic need) is acutely threatened.
Want to practice more questions like this?
This question is from NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025- which contains 50 questions.
More Questions from This Exam
Which action will the nurse implement first when the patient with urolithiasis reports spasms of intense flank pain, nausea, and severe dizziness?
Answer Choices:
Which nursing action will be priority when the health care provider prescribes a urine culture and antibiotics for the patient presenting With cloudy, blood-tinged urine and a temperature Of 100.1OF (37.80C) after having an indwelling catheter in place for 3 weeks?
Answer Choices:
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?
Answer Choices:
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.
Answer Choices:
Which patient statement indicates effective teaching related to the importance of a low-purine diet in treatment of uric acid urolithiasis?
Answer Choices:
From Exam
NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025-
50 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4