14. A client comes to an emergency department with complaints of low abdominal pain and hematuria. The client is afebrile. The nurse should first ask the client if:
14. A client comes to an emergency department with complaints of low abdominal pain and hematuria. The client is afebrile. The nurse should first ask the client if:
. There is a family history of bladder cancer.
. There had been recent trauma to the bladder or lower abdomen.
. This could be recurrence of glomerulonephritis.
. The client had ever had pyelonephritis.
Test-Taking Tip
Without a fever, eliminate the options with "itis." Choose an option that would best explain the pain.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
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Answer 1 is incorrect because pain would not be typically seen if bladder cancer was suspected. Answer 2 is correct because pain and blood in the urine without a fever would be more consistent with a blow or trauma to the abdomen or bladder. Answer 3 is incorrect because glomerulonephritis would present with a fever. Answer 4 is incorrect because symptoms of pyelonephritis would include a fever.