The nurse is assessing a client admitted with renal stones. During the admission assessment, what is the priority questions to ask?
Recent travel
Typical diet and fluid intake history
Vaccination records
Last bowel movement
The Correct Answer is B
A. Recent travel: Assessing recent travel history is relevant in understanding potential exposure to certain infections or dietary habits specific to certain regions. However, for a client admitted with renal stones, the immediate focus is on understanding factors related to their condition. While travel history might be a part of the overall assessment, it is not the priority question in this context.
B. Typical diet and fluid intake history: This is the priority question. Understanding the client's typical diet, including the types of foods they consume and their fluid intake habits, is crucial. Certain dietary factors, such as high intake of oxalate-rich foods or insufficient fluid intake, can contribute to the formation of renal stones. Gathering this information helps healthcare providers identify potential dietary factors that might have led to the stones, allowing for tailored dietary recommendations and prevention strategies.
C. Vaccination records: Vaccination records are essential for preventive healthcare, but they are not directly related to the assessment of a client admitted with renal stones. While ensuring clients are up-to-date with vaccinations is important, it is not the immediate concern in the context of renal stones.
D. Last bowel movement: Bowel movements are relevant to overall health and can provide information about gastrointestinal function. However, in the specific context of assessing a client admitted with renal stones, understanding the client's bowel movements is not the primary concern. The focus should be on factors directly related to renal stones, such as diet and fluid intake history, which can inform immediate interventions and prevention strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
No explanation
Correct Answer is ["165"]
Explanation
To calculate the low range of the dosage, we need to use the lower end of the dosage range provided (1.5 mg/kg) and the client's weight in kilograms.
1 lb is approximately equal to 0.45 kg. So, to convert the client's weight from pounds to kilograms:
245 lbs * 0.45 kg/lb = 110.25 kg
Now, to calculate the low range dosage:
Low range dosage = 1.5 mg/kg * 110.25 kg = 165.375 mg
Rounding to the nearest whole number, the nurse should administer 165 mg for the low range of the dosage.
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