Author Question: A nursing student has just started her first clinical rotation. She is seeing a patient for the ... (Read 36 times)

roselinechinyere27m · **on:** Jul 22, 2018

A nursing student has just started her first clinical rotation. She is seeing a patient for the first time this morning. Which of the following should she do first?

A. Focused patient assessment
B. Patient health history
C. Pass medications
D. Chart review

Question 2

Which of the following patients is most at risk for developing a urinary tract infection?

A. 12-year-old comatose boy on a ventilator
B. 48-year-old woman after abdominal surgery
C. 67-year-old man with Alzheimer disease
D. 58-year-old man postcardiac catheterization

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

Answer to Question 1

A
When beginning a patient assignment, always conduct a focused but complete assessment of the patient's condition and ask what outcomes the patient expects in his or her care.

Answer to Question 2

A
Because the peristaltic contractions of the ureters are not strong enough to overcome gravity when the patient is reclining, the renal pelvis fills before urine enters the ureters, which increases the patient's risk for urinary tract infection (UTI) and renal calculi. Renal calculi are calcium stones that lodge in the renal pelvis and pass through the ureters. Immobilized patients are at risk for calculi because of altered calcium metabolism and the resulting hypercalcemia.