The Patient, Age 30, Has a History of Renal Calculi

question 31

Multiple Choice

The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross hematuria and severe colicky left flank pain that radiates to his left testicle. An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician orders include meperidine (Demerol) 100 mg IM q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In planning care for this patient, the nurse gives the highest priority to which nursing diagnosis?

• A) Pain related to irritation of a stone
• B) Anxiety related to unclear outcome of condition
• C) Ineffective health maintenance related to lack of knowledge about prevention of stones
• D) Risk for injury related to disorientation

---

Definitions:

Foreign Policy

A government's strategy in dealing with other nations, focusing on diplomacy, security, and economic interests.

Economic Expansion

A period of increased business activity marking the growth of the economy, often characterized by higher employment, increased production, and rising incomes.

Adams-Onis Treaty

An agreement between the United States and Spain in 1819 that transferred Florida to the U.S. and defined the boundary between the U.S. and New Spain.

Spanish Colonies

Territories across the Americas, Asia, and Africa that were under Spanish rule from the late 15th to the early 19th centuries, marked by exploration, conquest, and colonization.