Question

A client is admitted with a diagnosis of urolithiasis. Which finding is most important for the nurse to report to the health care provider?

a. Volume of each voiding is more than 300 ml
b. Serum potassium level is elevated
c. Relief of flank pain that is radiating to the groin
d. Hematuria that is beginning to turn pink

Answer 1

The most important finding to report is the elevated serum potassium level, as it can indicate kidney dysfunction and lead to severe complications. The correct answer is option b.

Step-by-step explanation:

The most important finding to report to the healthcare provider for a client admitted with a diagnosis of urolithiasis would be b. Serum potassium level is elevated. This is critical because an elevated serum potassium level can indicate possible kidney dysfunction or damage and can lead to severe cardiac issues if not addressed.

Symptoms like hematuria turning pink and relief of flank pain are expected as the stone moves through the urinary tract. The volume of each voiding being more than 300 ml indicates adequate urinary flow and is not immediately concerning. It is important for the health care provider to be aware of significant laboratory abnormalities.

Such as elevated potassium levels (hyperkalemia) which could necessitate immediate treatment to prevent complications. Moreover, while symptoms such as hematuria and pain relief are part of the typical presentation of renal colic associated with kidney stones.