A client comes to the Emergency Department complaining of a sudden onset of sharp, severe flank pain. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region. He states, "I can even feel the pain at the tip of my penis." Which of the following would the nurse suspect?
A) Acute glomerulonephritis
B) Ureteral stricture
C) Urinary calculi
D) Renal cell carcinoma

Question

Quizplus · Accepted Answer

The sudden onset of severe flank pain that radiates to the suprapubic region and even to the tip of the penis is a classic presentation of urinary calculi, also known as kidney stones. The pain may come in waves as the stone moves through the urinary tract. Acute glomerulonephritis is an inflammation of the kidney's glomeruli and typically presents with symptoms such as hematuria (blood in urine), proteinuria (excessive protein in urine), and swelling in the extremities. Ureteral stricture is a narrowing of the ureter, which can cause obstruction of urine flow and may present with symptoms such as pain during urination and frequent urination. Renal cell carcinoma is a type of kidney cancer that typically presents with symptoms such as blood in urine, flank pain, and weight loss. However, it is not typically associated with pain that radiates to the suprapubic region or the tip of the penis.

A Client Comes to the Emergency Department Complaining of a Sudden