Author Question: When planning care for the client with urinary calculi, the nurse and client set which of the ... (Read 37 times)

jasdeep_brar · **on:** Jul 22, 2018

When planning care for the client with urinary calculi, the nurse and client set which of the following goals of care?

1. The client will ambulate three times a day.
2. The client will shower independently.
3. The client will lose 25 pounds in 6 months.
4. The client will request pain medication at the onset of pain.

Question 2

A client has preeclampsia. She is 36 weeks' pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the client that the contraction stress test is being done to determine:

1. What affect her hypertension has had on the fetus.
2. If the fetus will be able to tolerate labor.
3. If fetal movement increases with contractions.
4. What effect contractions will have on her blood pressure.

31809pancho · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. The client will request pain medication at the onset of pain.

Rationale:
Intense pain is the hallmark of urinary calculi, or kidney stones, that are passing through the urinary system. The nurse teaches the client to request pain medication at the onset of pain in order to provide faster relief. The client with urinary calculi is able to ambulate and shower independently. Dietary changes will need to be made to prevent further formation of stones, but, weight loss is not necessarily a goal with this disease process.

Answer to Question 2

2. If the fetus will be able to tolerate labor.

Rationale:
Contraction stress tests are performed to assess the ability of the fetus to tolerate labor. The fetal heart rate response to movement is assessed in a nonstress test. With contractions, the nurse is assessing for a heart rate response, not movement. The effect of contractions on blood pressure would be noted, but this is not the purpose. A contraction stress test is not done to assess the affect of the mother's blood pressure on the developing fetus.