A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting.
The most important nursing action for him at this time is:
A . Intake and output measurement
B . Daily weights
C . Straining of all urine
D . Administration of O2 therapy
Answer: C
Explanation:
(A) Intake and output measurements are important but must be accompanied by straining urine.
(B) Daily weights would not provide for identification of calculi.
(C) Straining urine provides for assessment of calculi and evaluation of calculi descent through ureters and urethra.
(D) O2therapy should not be necessary for renal calculi.