« previous next »

Author Question: The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross ... (Read 42 times)

tatyanajohnson

  • Hero Member
  • *****
  • Posts: 569
on: Jul 11, 2018
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

  • Sr. Member
  • ****
  • Posts: 356
Reply #1 on: Jul 11, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Measuring Patient Height Measuring Patient Height
Pathophysiology of renal diseases and hypertension Pathophysiology of renal diseases and hypertension
Inflammation. Inflammation is characterized by the presence of swelling, redness, heat, and pain. Sw Inflammation. Inflammation is characterized by the presence of swelling, redness, heat, and pain. Sw
Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Role-Playing a Situation in Which a Patient Is from Another Culture Role-Playing a Situation in Which a Patient Is from Another Culture
Manifestations of chronic renal failure. Manifestations of chronic renal failure.
Video: Rods and Cones Animation

For a complete list of videos, visit our video library