A nurse assesses a client who presents with renal calculi. Which ...

[shenderson6]

A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
 
  a. Do any of your family members have this problem?
  b. Do you drink any cranberry juice?
  c. Do you urinate after sexual intercourse?
  d. Do you experience burning with urination?

Question 2

An emergency department nurse assesses a client with a history of urinary incontinence who presents with extreme dry mouth, constipation, and an inability to void. Which question should the nurse ask first?
 
  a. Are you drinking plenty of water?
  b. What medications are you taking?
  c. Have you tried laxatives or enemas?
  d. Has this type of thing ever happened before?

[amcvicar]

Answer to Question 1

ANS: A
There is a strong association between family history and stone formation and recurrence. Nephrolithiasis is associated with many genetic variations; therefore, the nurse should ask whether other family members have also had renal stones. The other questions do not refer to renal calculi but instead are questions that should be asked of a client with a urinary tract infection.

Answer to Question 2

ANS: B
Some types of incontinence are treated with anticholinergic medications such as propantheline (Pro-Banthine). Anticholinergic side effects include dry mouth, constipation, and urinary retention. The nurse needs to assess the client's medication list to determine whether the client is taking an anticholinergic medication. If he or she is taking anticholinergics, the nurse should further assess the client's manifestations to determine if they are related to a simple side effect or an overdose. The other questions are not as helpful to understanding the current situation.

[shenderson6]

Excellent

[upturnedfurball]

TYSM