When planning care for the client with urinary calculi, the nurse and client set which of the following goals of care?
1. The client will ambulate three times a day.
2. The client will shower independently.
3. The client will lose 25 pounds in 6 months.
4. The client will request pain medication at the onset of pain.
4. The client will request pain medication at the onset of pain.
Rationale:
Intense pain is the hallmark of urinary calculi, or kidney stones, that are passing through the urinary system. The nurse teaches the client to request pain medication at the onset of pain in order to provide faster relief. The client with urinary calculi is able to ambulate and shower independently. Dietary changes will need to be made to prevent further formation of stones, but, weight loss is not necessarily a goal with this disease process.
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