adult health

Question 1

Assessment findings: Signs of nephrolithiasis

Answer 1

include hematuria and severe, colicky flank pain
radiating to the groin.

Question 2

Priority interventions: Priority interventions

Answer 2

for
nephrolithiasis include giving IV analgesics and encouraging ambulation and fluid intake of
2-3 L/day to promote stone passage.

Question 3

Obstruction risk:

Answer 3

Monitor clients with
nephrolithiasis for signs of urinary obstruction such
as decreased urine output or bladder distention.

Question 4

Dietary modifications:

Answer 4

Clients with oxalate
stones should limit oxalate-rich foods (spinach, nuts, tea). Clients with calcium stones should
limit sodium and animal protein. Clients with uric acid stones should limit purine-rich foods (organ meats, shellfish).

Question 5

Post-lithotripsy:

Answer 5

Expected findings after ESWL
include flank bruising and blood-tinged urine.
Notify the HCP for fever or foul-smelling urine,
which indicate infection.