Author Question: The nurse is evaluating care given to the client with urinary calculi and, anticipating discharge, ... (Read 28 times)

casperchen82 · **on:** Jul 22, 2018

The nurse is evaluating care given to the client with urinary calculi and, anticipating discharge, is providing instruction to the client.

Which of the following would the nurse teach the client to prevent further complications of urinary calculi prior to discharge? 1. Refrain from driving while taking pain medications
2. Signs and symptoms of impending urinary tract infection (UTI)
3. Increase fluid intake to 1L/day
4. Maintain a diet high in purines

Question 2

The nurse is caring for a client who sustained multiple injuries in an automobile accident. As a part of tertiary prevention for this client, the nurse plans to:

1. Restore the client to previous functioning.
2. Prevent the progression of more symptoms.
3. Detect early disease.
4. Promote wellness.

succesfull · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Signs and symptoms of impending urinary tract infection (UTI)

Rationale:
The client with stones may have a UTI when formed stones obstruct urinary flow. These symptoms should be reported as early as possible to the primary care provider. By discharge, the stones should have passed and there would be no need for pain medication. Fluid intake per day should be 2.53.0L. Foods high in purines, such as organ meats, are to be avoided.

Answer to Question 2

1. Restore the client to previous functioning.

Rationale:
Rehabilitation is tertiary prevention and is aimed at restoring the client to the previous level of functioning. Prevention of the progression of symptoms and early detection of disease are secondary preventions. Promoting wellness is considered primary prevention.