A client with renal calculus is complaining of severe right flank pain, nausea, and vomiting. Which nursing problem has the highest priority?

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Neurological Disorders in Medical Surgical Nursing Questions

Question 1 of 5

A client with renal calculus is complaining of severe right flank pain, nausea, and vomiting. Which nursing problem has the highest priority?

Correct Answer: A

Rationale: Pain is acute and immediate; it’s the priority per Maslow’s hierarchy. Others are secondary. [Level: Analysis]

Question 2 of 5

A client admitted dehydration resulting from vomiting and diarrhea. The nurse knows that the client is at greatest risk of developing which condition?

Correct Answer: D

Rationale: Dehydration causes electrolyte imbalances (e.g., hypokalemia), risking dysrhythmias. Others are less directly linked. [Level: Comprehension]

Question 3 of 5

A female patient who had a stroke 24 hours ago has expressive aphasia. What is an appropriate nursing intervention to help the patient communicate?

Correct Answer: A

Rationale: Expressive aphasia impairs speech output; yes/no questions aid communication. B/C are therapy, D undermines autonomy. [Level: Application]

Question 4 of 5

Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness and decreasing level of consciousness. Which patient problem do they determine has the highest priority for the patient?

Correct Answer: A

Rationale: Decreasing consciousness increases aspiration risk, a life-threatening issue. Others are chronic concerns. [Level: Analysis]

Question 5 of 5

During the acute stage of a stroke, which intervention would be included in the plan of care for a patient experiencing aphasia?

Correct Answer: A

Rationale: Yes/no questions facilitate communication in aphasia. B/C hinder, D is supportive but less primary. [Level: Application]

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