The patient, age 30, has a history of renal calculi and is ...

[tatyanajohnson]

The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross hematuria and severe colicky left flank pain that radiates to his left testicle.
 
  An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician orders include meperidine (Demerol) 100 mg IM q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In planning care for this patient, the nurse gives the highest priority to which nursing diagnosis? a. Pain related to irritation of a stone
  b. Anxiety related to unclear outcome of condition
  c. Ineffective health maintenance related to lack of knowledge about prevention of stones
  d. Risk for injury related to disorientation

Question 2

The patient has end-stage renal disease (ESRD) and is admitted with a blood urea nitrogen (BUN) level of 93 mg/dL. An excessive elevation of BUN could result in
 
  a. dehydration.
  b. disorientation.
  c. edema.
  d. catabolism.

[sabina576]

Answer to Question 1

A
Nursing diagnoses include, but are not limited to, patient pain related to mobility of renal calculus.

Answer to Question 2

B
If the BUN is elevated, preventive nursing measures should be instituted to protect the patient from possible disorientation or seizures.