A client is admitted to the hospital with a diagnosis of kidney stones. The physician orders IV fluids, x-rays, blood work, and a Foley catheter for the client
The nurse is caring for the client 3 days after admission and takes morning vital signs of 101°F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. The nurse suspects which of the following? 1. The client is getting ready to pass the kidney stones.
2. The client has developed a cold.
3. The client has a urinary tract infection that is probably nosocomial.
4. The client is in renal failure.
3. The client has a urinary tract infection that is probably nosocomial.
Rationale:
The client has developed a urinary tract infection that was not present upon admission. This is a hospital-acquired infection and is likely due to poor technique when placing the Foley catheter. When a client is passing kidney stones, the major symptom is severe pain. There is no evidence of respiratory symptoms or renal failure.
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