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The Nurse Is Triaging a Client Who Presents to the Urgent

Question 26

Multiple Choice

The nurse is triaging a client who presents to the urgent care clinic with symptoms of severe flank pain with spasms, nausea, vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the lower back to the lower quadrants of the abdomen. Which action by the nurse is the most appropriate?


A) Complete the physical assessment.
B) Consult a urologist immediately.
C) Instruct the client to increase fluids.
D) Obtain a urine specimen for culture.

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