Renal Calculi and Management · NCLEX Exam

In a patient presenting with sudden, severe flank pain radiating to the groin, hematuria, and nausea, what is the likely diagnosis based on nursing assessment?

  1. Acute lower urinary tract infection
  2. Kidney stone causing ureteral obstruction
  3. Acute bacterial bladder infection
  4. Musculoskeletal lower back pain
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Correct answer: Kidney stone causing ureteral obstruction

Sharp flank pain radiating to the groin and hematuria strongly suggest ureteral obstruction from a renal calculus (stone) causing renal colic.

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