The Nurse Is Triaging a Patient Who Presents to the Urgent

The nurse is triaging a patient who presents to the urgent care clinic with symptoms of severe flank pain with spasms,nausea,vomiting,and oliguria.The patient 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) Refer the patient to a urologist
C) Instruct the patient to increase fluids
D) Obtain a urine specimen for culture