A novice nurse is providing care to clients on a urology unit. ...

[audragclark]

A novice nurse is providing care to clients on a urology unit. When providing care to a group of clients, which client does the novice nurse identify as being at the greatest risk for developing urinary stones?
 
  A) A 35-year-old female with quadriplegia from an auto accident
  B) A 65-year-old male with a recent history of myocardial infarction
  C) A 50-year-old male with type II diabetes mellitus
  D) A 25-year-old female with several episodes of urinary infection

Question 2

The nurse educator is speaking with a group of students about renal disorders. Which statement is appropriate for the educator to include regarding renal stones?
 
  A) Older adult clients are particularly at risk for urolithiasis.
  B) Young- or middle-adult men are at an increased risk for stones.
  C) Women have a greater risk overall than men.
  D) Frequency is greater in the northern United States.

[Beatricemm]

Answer to Question 1

Answer: A

The 35-year-old female with quadriplegia 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 65-year-old male with a recent history of myocardial infarction, 50-year-old male with type II diabetes mellitus, and 25-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

Answer: B

Men who are in young to middle age are affected 2-3 times more than women of that age. The frequency of the occurrence of renal stones in the United States is greatest in the southern and midwestern states.