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Nephrolithiasis (kidney stones) — NCLEX Cheat Sheet
Severe colicky flank pain
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Use this quick-reference guide to spot, treat, and prevent Nephrolithiasis (kidney stones) on the NCLEX. Keep it handy during review and on exam day!
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Signs
What to look for- SEVERE colicky flank pain
- radiates groin, hematuria, N/V
- restless, can't find comfort
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Do
Nursing actions- STRAIN all urine for stones
- ↑fluids 3 L/day, ambulate
- pain meds, antispasmodics
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Report
Notify / act now- no urine output → obstruction
- fever + pain → infection
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Teach
Teaching points- calcium stones: limit Na/oxalate
- uric acid: limit purines (organ meat)
- lithotripsy for large stones
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Quick Tip
Severe, colicky flank pain that may radiate to the groin, testes, or labia is the classic presentation.
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