Final answer:
A nurse should inquire about the presence of flank pain and intermittent hematuria in a client with a renal malignancy, as these are common symptoms associated with renal issues like kidney stones or malignancies.
Step-by-step explanation:
When assessing a client with a renal malignancy that is admitted to the hospital for a diagnostic workup and probable surgery, the nurse should inquire about the presence of flank pain and intermittent hematuria. These are common symptoms related to renal issues, such as kidney stones or malignancies. Flank pain is typically severe and episodic, most commonly felt in the flank, lower abdomen, and groin, and is a condition known as renal colic. This pain can be associated with nausea and vomiting. Hematuria, which is the presence of blood in the urine, occurs due to damage to the lining of the urinary tract. Other symptoms that may present in renal complications include nausea, vomiting, and darker urine. However, suprapubic pain, foul-smelling urine, and decreased urine output may indicate other urological issues and are not as directly associated with renal malignancy.