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
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.
You might also like to view...
The postpartum client delivered four hours ago. She has a mediolateral episiotomy and large hemorrhoids. She is rating her pain at 7 on a scale of 1–10. She has a history of anaphylactic reaction to Tylenol (acetaminophen)
Which nursing action would be best? 1. Offer the client 800 mg Advil (ibuprofen) orally with food. 2. Provide two Percocet (oxycodone with acetaminophen) by mouth. 3. Encourage use of Dermoplast topical anesthetic spray. 4. Run very warm water into the tub and assist her into the bath.
What is the function of T-cell lymphocytes?
a. Regulate the immune response by activating other cells b. Direct production of antibodies c. Initial destruction of the antigen d. Promote growth of microorganisms
A child who has fractured his forearm is unable to extend his fingers. The nurse knows that this:
a. is normal following this type of injury. b. may indicate compartmental syndrome. c. may indicate fat embolism. d. may indicate damage to the epiphyseal plate.
The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors' flowers. Which defense mechanism used by the child does the nurse identify in the mother's report?
A. Projection B. Sublimation C. Displacement D. Identification