A client admitted to the hospital with a diagnosis of ...

[mydiamond]

A client admitted to the hospital with a diagnosis of inflammatory bowel disease has also been diagnosed with calcium phosphate renal calculi.
 
  When planning care for this client, which medication does the nurse anticipate based on the data?
  A) Potassium citrate
  B) Indomethacin
  C) Morphine sulfate
  D) Hydrochlorothiazide

Question 2

The nurse is providing care for a client with renal calculi. Which expected outcomes will the nurse include in this client's plan of care? Select all that apply.
 
  A) The client rates pain at a 2 on a scale of 1-10 and states that a 2 is acceptable.
  B) The client is able to comfortably perform ADLs.
  C) The client demonstrates a fluid intake of 800-1,000mL/day.
  D) The client remains free of signs and symptoms of infection.
  E) The client chooses the appropriate diet to prevent the reoccurrence of renal calculi.

[nguyenhoanhat]

Answer to Question 1

Answer: D

Hydrochlorothiazide is a thiazide diuretic used to prevent the formation of calcium stones. Potassium citrate alkalinizes urine (raises the pH) and is often prescribed to prevent stones that tend to form in acidic urine (uric acid, cystine, and some forms of calcium stones). Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is used to treat pain and discomfort and may reduce the amount of narcotic analgesia required for acute renal colic. Morphine sulfate is a narcotic analgesic used to relieve pain.

Answer to Question 2

Answer: A, B, D, E

While straining of the client's urine may indicate that the stone has passed, it is important to assess the client for possible complications. Client outcomes should include the client's rating pain at 3 or less on a 0-10 scale and being comfortable enough to perform own ADLs, the client demonstrating an adequate fluid intake of 2-3 liters a day, the client's choosing the appropriate diet to prevent the reoccurrence of renal calculi, and the client's remaining free of signs and symptoms of infection.

[mydiamond]

Thank you

[nguyenhoanhat]

Happy to help you