You are taking a history on a patient newly diagnosed with renal cancer. What questions would you be sure to include when you talk with this patient? (Mark all that apply.)
A) Ask about intussusceptions.
B) Ask about urinary incontinence.
C) Ask about previous renal or urinary diagnostic tests.
D) Ask about the patient's chief concern.
E) Ask about gallstones.
Ans: B, C, D
Feedback: When obtaining the health history, the nurse should inquire about the following: the patient's chief concern or reason for seeking health care, the onset of the problem, and its effect on the patient's quality of life; the location, character, and duration of pain, if present, and its relationship to voiding; factors that precipitate pain, and those that relieve it; history of urinary tract infections, including past treatment or hospitalization for urinary tract infection; fever or chills; previous renal or urinary diagnostic tests or use of indwelling urinary catheters; dysuria and when during voiding (ie, at initiation or at termination of voiding) it occurs; hesitancy, straining, or pain during or after urination; urinary incontinence (stress incontinence, urge incontinence, overflow incontinence, or functional incontinence); hematuria or change in color or volume of urine; nocturia and its date of onset; renal calculi (kidney stones), passage of stones or gravel in urine; female patients: number and type (vaginal or cesarean) of deliveries; use of forceps; vaginal infection, discharge, or irritation; contraceptive practices; history of anuria (decreased urine production) or other renal problem; presence or history of genital lesions or sexually transmitted diseases; use of tobacco, alcohol, or recreational drugs; any prescription and over-the-counter medications (including those prescribed for renal or urinary problems). Intussusception is the telescoping of a piece of the bowel into another piece of the bowel and is not something you would ask about in this health history. Nor would you ask about gallstones.
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