The nurse providing care to a client whose medication therapy for the treatment of renal calculi has failed. Based on this data, which treatment option does the nurse anticipate for this client?
A) Lithotripsy
B) Surgical removal
C) Dietary control
D) Initiation of IV fluids
Answer: A
When medication fails to dissolve stones, the preferred method of treatment is lithotripsy, which is using sound waves to crush the stones so they can be passed out of the urinary system. Depending on the location of the stones, surgery may be the next step in the treatment process. Diet and fluids are used to prevent further stone formation.
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An important nursing intervention when giving care to a client withdrawing from a CNS stimulant is
to a. make physical contact by frequently touching the client. b. offer intellectual activities requiring concentration. c. observe for depression and suicidal ideation. d. avoid manipulation by denying all client requests.
A client is scheduled for an ECG single-photon emission-computed tomography (SPECT). She asks why they are doing this test. The nurse explains that: Select all that apply
1. SPECT images display three views of the heart instead of on a single plane. 2. SPECT images are high resolution and have better separation of overlapping myocardial segments, which provides more specific information about cardiac muscle function. 3. SPECT images can be correlated with the ECG to assess ventricular wall motion, which assesses the effectiveness of the heart muscle. 4. SPECT is an accurate depiction of the electrical activity of the heart. 5. SPECT gives specific information about percent of coronary artery occlusion.
Relationship-based care expands care delivery beyond core concepts of family-centered care to include:
1. Informed consent that only includes the parent, regardless of age of the pediatric patient. 2. The nurse's developing a relationship with family members through one-on-one conversations. 3. Focusing on identifying the relationship structure of the family. 4. Exclusion of siblings from the plan of care.
A patient with an infection is prescribed a macrolide antibiotic. What should the nurse instruct the patient about taking this medication?
A. Take the medication on an empty stomach. B. Take the medication with a glass of milk. C. Take the medication on a full stomach. D. Take the medication with a full glass of juice.