The nurse providing care to a client whose medication therapy for ...

[Themember4]

The nurse providing care to a client whose medication therapy for the treatment of renal calculi has failed. Based on this data, which treatment option does the nurse anticipate for this client?
 
  A) Lithotripsy
  B) Surgical removal
  C) Dietary control
  D) Initiation of IV fluids

Question 2

A client is admitted to the emergency department and diagnosed with urinary calculi after experiencing symptoms for 1 week. When planning care for this client, which nursing diagnosis is the most appropriate?
 
  A) Risk for Constipation
  B) Risk for Disuse Syndrome
  C) Imbalanced Nutrition
  D) Activity Intolerance

[Silverbeard98]

Answer to Question 1

Answer: A

When medication fails to dissolve stones, the preferred method of treatment is lithotripsy, which is using sound waves to crush the stones so they can be passed out of the urinary system. Depending on the location of the stones, surgery may be the next step in the treatment process. Diet and fluids are used to prevent further stone formation.

Answer to Question 2

Answer: C

The client with urinary calculi, or kidney stones, of lengthy duration is at risk for imbalanced nutrition from the resulting nausea. Activity intolerance, risk for constipation, and risk for disuse syndrome are not as appropriate because the symptoms of urinary calculi do not lead to these diagnoses.

[Themember4]

Excellent

[alvinum]

TYSM