Discuss the indication for the WBC, a CMP, and urinalysis ordered for this client. 8. In order to provide holistic client care, the nurse must be aware of cultural considerations. Using the information provided in regard to Mrs. Condiff, discuss how the nurse could incorporate culturally relevant care. 9. Discuss typical treatment options for renal calculi. 10. Discuss ways in which Mrs. Condiff can prevent further formation of renal calculi.
Mrs. Condif is a 35-year-old female who presents to the emergency department
with the chief complaint of severe right sided flank pain which began one day ago.
She reports feeling nauseated and has vomited once today. Mrs. Condiff does not
show any outward appearance of pain but is having some difficulty sitting still. She
states, “I feel the need to constantly walk around.” Upon further questioning, the
client reveals a history of dysuria, urgency, and frequency of urination. As the nurse
obtains a history, she notes that the client has no facial grimace and is not making
eye contact. The client states, “I am sorry to come in with this pain, I have tried to
treat it at home with Creeping Charlie but it just did not help.”
Case Study
Nursing assessment findings include pale, moist skin, costovertebral tenderness,
and restlessness. Her vital signs are blood pressure 142/90, pulse 110, respirations
22, and temperature of 99.8°F (37.7°C) Oxygen saturation is 98% on room air. The
emergency physician evaluates Mrs. Condiff and orders the following: (a) urinalysis,
strain all urine, (b) white blood count (WBC), (c) comprehensive
(CMP), (d) intravenous pyelogram (IVP), (e) 1 liter 0.9% Sodium Chloride bolus,
(f) Morphine 4mg IV, and (g) Zofran (ondansetron) 4mg IV. No physician orders
have yet been implemented. The emergency physician informs the nurse that he
suspects renal calculi to be the cause of this client’s pain. Upon further assessment,
the physician reports that the client has a family history of renal calculi. Mrs. Condiff
rates the pain at a 9 on a 0-10 pain scale.
6. The physician has ordered that the urine needs to be strained. Discuss what straining the urine entails and why it is done.
7. Discuss the indication for the WBC, a CMP, and
urinalysis ordered for this client.
8. In order to provide holistic client care, the nurse must be aware of cultural considerations. Using the
information provided in regard to Mrs. Condiff, discuss how the nurse could incorporate culturally relevant care.
9. Discuss typical treatment options for renal calculi.
10. Discuss ways in which Mrs. Condiff can prevent further formation of renal calculi.
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