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?

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Nursing diagnoses directed at pain control are of primary importance at the early stages of care. Opioid medications manage the pain well.

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