Final answer:
Kidney stones can cause severe pain in the right flank and changes in vital signs, including increased blood pressure and decreased pulse rate.
Step-by-step explanation:
Kidney stones, also known as renal calculi, can cause severe pain in the right flank. In addition to pain, the nurse can expect to see changes in the client's vital signs. These changes may include increased blood pressure and a decreased pulse rate. However, increased temperature and a decreased respiratory rate are typically not associated with kidney stones.