A graduate nurse has joined the staff in the care of renal ...

[lracut11]

A graduate nurse has joined the staff in the care of renal patients. The graduate asks the preceptor to discuss the risks for urinary calculi. The nurse identifies which of the following clients as having the greatest risk for urinary stones?
 
  1. 70-year-old male with a recent history of myocardial infarction
   2. 45-year-old female with paraplegia from an auto accident
   3. 60-year-old male with type II diabetes mellitus
   4. 30-year-old female with several episodes of urinary infection

Question 2

A nursing preceptor is working with a new graduate on a medical-surgical unit.
 
  During care of a client, the preceptor suggests that the graduate nurse change the technique of care to reflect the way the procedure has been conducted on the unit for a long time. The nursing student concludes that the preceptor is encouraging the graduate to: 1. Use existing unit modes of care. .
   2. Use medical knowledge to perform care.
   3. Use new knowledge gained through research.
   4. Use trial and error to gain knowledge.

[briseldagonzales]

Answer to Question 1

2. 45-year-old female with paraplegia from an auto accident

Rationale:
The 45-year-old female with paraplegia from an auto accident experiences prolonged immobility, which will increase calcium loss from bones and therefore increase the chance of calcium stones precipitating in the urinary system. A 70year-old male with a recent history of myocardial infarction, 60-year-old male with type II diabetes mellitus, and 30-year-old female with several episodes of urinary infection do not have as great a risk because they do not remain immobile for long periods of time.

Answer to Question 2

1
1. Use existing unit modes of care.
Rationale:
Many nurses appear to be resistant to new knowledge and techniques. The preceptor is suggesting that the graduate perform care the way it has been always done rather than any other type of knowledge or evidence-based care. The preceptor is not encouraging the graduate to use medical knowledge, new knowledge, or trial and error in this example.