Author Question: The nurse is palpating the left flank area and feels a sharp edge with definite delineated margins. ... (Read 50 times)

casperchen82 · **on:** Jun 25, 2018

The nurse is palpating the left flank area and feels a sharp edge with definite delineated margins. Based on this data, which is the nurse palpating?

1. An enlarged spleen.
2. An enlarged kidney.
3. The colon.
4. A distended bladder.

Question 2

The nurse is admitting a client with constant, severe flank pain, spasms, nausea and vomiting, and oliguria.

The client states that the pain was initially intermittent and radiated from the low back to the lower quadrants of the abdomen. Which nursing action is the priority for this client?
1. Administer pain medication.
2. Notify the healthcare provider immediately.
3. Obtain a urine specimen for culture.
4. Complete the assessment.

Kdiggy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
An enlarged kidney feels smooth and rounded, whereas an enlarged spleen feels sharper with a more delineated edge. Both organs lie in the left upper quadrant of the abdomen. Usually the kidneys are not palpable, but may be if enlarged. The colon should not be palpable, and the bladder is in the area over the symphysis pubis.

Answer to Question 2

Correct Answer: 2
Hydroureter is a complication that occurs when a renal calculus moves into the ureter and blocks and dilates the ureter. Symptoms include severe pain and spasms, nausea and vomiting, and diminished volume of urine (oliguria). Hydroureter is a medical emergency that can lead to shock, infection, and subsequent impaired renal function, and medical collaboration should be initiated immediately. All other options would not be appropriate in an emergency situation.