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

Answer and Explanation

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.

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Correct Answer is ["25 hours"]

Explanation

To calculate the number of hours required to infuse two 1L bags of normal saline at a rate of 80 ml/hr, you can use the following formula:

Time (hours) = Total volume (ml) / Infusion rate (ml/hr)

First, calculate the total volume of normal saline to be infused:

Total volume = 2 bags x 1L/bag x 1000 ml/L = 2000 ml

Now, plug this into the formula:

Time (hours) = 2000 ml / 80 ml/hr

Time (hours) = 25 hours

So, it will take 25 hours to infuse the total amount of normal saline at a rate of 80 ml/hr, assuming no interruptions in the infusion. Rounded to the nearest whole number, it will take 25 hours.

A. Void every 6 to 8 hours. B. Avoid voiding immediately after sexual intercourse. C. Take a bubble bath daily and keep the perineal region clean. D. Increase the daily amount of water consumed.

Correct Answer is D

Explanation

A. Void every 6 to 8 hours:This interval may not be frequent enough. It is generally recommended to void every 2 to 3 hours to help flush out bacteria and reduce the risk of infection.

B. Avoid voiding immediately after sexual intercourse.This is not recommended. It is actually advised to void immediately after sexual intercourse to help flush out any bacteria that may have entered the urethra.

C. Take a bubble bath daily and keep the perineal region clean:
While keeping the perineal region clean is important for general hygiene, taking bubble baths and using heavily scented products can irritate the urethra and potentially increase the risk of UTIs. The nurse should advise against frequent bubble baths and suggest using mild, unscented soaps for the perineal area.

D. Increase the daily amount of water consumed:
Drinking more water helps increase urine output, which helps flush out bacteria from the urinary tract and can reduce the risk of recurrent UTIs.

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The nurse is assessing a client admitted with renal stones. During the admission assessment, what is the priority questions to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is to infuse two 1L bags of normal saline to a patient at 80ml/hr. How many hours will it take to infuse the total amount of normal saline? Round to the whole number. Assume no interruptions in the infusion.

Correct Answer is ["25 hours"]

Explanation

A female client has been experiencing recurrent urinary tract infections. What health education should the nurse provide to this client?

Correct Answer is D

Explanation

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