Author Question: A patient injured in the home and unable to receive help or healthcare for 48 hours has a blood urea ... (Read 51 times)

Marty · **on:** Jun 25, 2018

A patient injured in the home and unable to receive help or healthcare for 48 hours has a blood urea nitrogen level of 50 mg/dL and serum creatinine level of 1.0 mg/dL. For which problem should the nurse plan care for first for this patient?

1. dehydration
2. anxiety
3. pain
4. poor nutrition

Question 2

The nurse is providing preoperative teaching for a patient recovering from a cystogram. The nurse realizes that additional teaching is necessary when the patient states:

After the procedure, I need to contact my primary healthcare provider if I experience

1. any bloody urine.
2. low urine output.
3. abdominal pain.
4. chills or fever.

jonathanballen97 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
To assess whether the patient's elevated blood urea nitrogen is caused by dehydration or renal failure, the nurse assesses the serum creatinine value. The patient's serum creatinine is normal, which does not indicate kidney failure. This patient is dehydrated. These laboratory values are not relevant to the problems of anxiety, pain, or poor nutrition.

Answer to Question 2

Correct Answer: 1
Some blood is expected in the urine following the procedure. The nurse should provide more information regarding the monitoring of blood in the urine. The nurse should instruct the patient to immediately notify the physician if the urine remains bloody for more than three voidings after the procedure, or if bright bleeding develops. Low urine output, abdominal or flank pain, chills, or fever can occur and indicate that teaching has been effective.