Final Exam: NR570 / NR 570 (Latest
Update 2024 / 2025) Common Diagnosis and Management in Acute Care Practicum | Questions with Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
Differentials for abdominal and/or flank pain
Answer:
-Nephrolithiasis -Pyelonephritis -Ectopic pregnancy -Ovarian or testicular torsion -Appendicitis -bowel obstruction -Diverticulitis -Ruptured aortic aneurysm
- / 4
Question:
Which nephrolithiasis patient should be referred to to the ER
Answer:
Patients with severe pain, appearing, toxic, or septic, cannot avoid, have multiple comorbidities, our elderly, have high fever
Question:
OP Nephrolithiasis testing
Answer:
UA dipstick, urine micro, urine c&S
BUN & creatinine
Question:
Radiology for nephrolithiasis
Answer:
KUB or US
Non-contrast CT = gold standard
- / 4
Question:
Radiopaque kidney stones
Answer:
calcium oxalate and struvite
Question:
Radio translucent kidney stones
Answer:
Uric acid stones
Question:
Treatment of nephrolithiasis
Answer:
Initial ED treatment should be geared towards symptomatic relief with:
Fluids to facilitate stone passage Adequate pain control Anti-emetic for nausea and vomiting
- / 4
Question:
Stone size for passage
Answer:
Kidney stones that are > 5 mm may cause an obstruction or kidney failure so these patients should be referred to a urologist
Question:
Medications to facilitate stone passage
Answer:
Thiazide diuretics Alpha blockers Calcium channel blockers
Question:
Patients with small stones
Answer:
Symptomatic treatment and hydration
NSAIDs or short course of narcotics
Antiemetics, alpha blockers (terazosin)
Referral for OP urology
- / 4