An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient
Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day. What should be the nurse's highest priority when planning care for this patient?
a.
Pain related to irritation of a stone
b.
Anxiety related to unclear outcome of condition
c.
Ineffective health maintenance related to lack of knowledge about prevention of stones
d.
Risk for injury related to disorientation
ANS: A
Nursing diagnoses directed at pain control are of primary importance at the early stages of care. Opioid medications manage the pain well.
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