An Intravenous Pyelogram Confirms the Presence of a 4-Mm Renal

Multiple Choice

An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day. What should be the nurse's highest priority when planning care for this patient?

A) Pain related to irritation of a stone
B) Anxiety related to unclear outcome of condition
C) Ineffective health maintenance related to lack of knowledge about prevention of stones
D) Risk for injury related to disorientation