Author Question: A client is admitted to the emergency room and diagnosed with urinary calculi after reporting that ... (Read 93 times)

armygirl · **on:** Jul 22, 2018

A client is admitted to the emergency room and diagnosed with urinary calculi after reporting that the symptoms have lasted for one week. Which of the following nursing diagnoses is appropriate for this client?

1. Activity Intolerance
2. Risk for Constipation
3. Imbalanced Nutrition
4. Risk for Disuse Syndrome

Question 2

Which of the following would be in the plan of care for a client diagnosed with preeclampsia at risk for injury?

1. Place in a semiprivate room
2. Provide stimulation with television and visitors
3. Limit phone calls and visitors
4. Suggest family and friends phone frequently

vkodali · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Imbalanced Nutrition

Rationale:
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 or urinary calculi do not lead to these diagnoses.

Answer to Question 2

3. Limit phone calls and visitors

Rationale:
The client with preeclampsia at risk for injury needs to be placed in a private room near the nurses' station. The room should be a quiet, with phone calls and visitors limited. The semiprivate room might provide too much stimulation. Television and visitors should be limited to reduce stimulation. Frequent phone calls would provide too much stimulation and should be limited.