Question

C.RENAL CALCULI

An elderly patient with osteoporosis consulted in an Out-patient Department with complaints of severe lower back pain. She is taking 1000 mg of calcium carbonate once a day and reports of poor hydration due to her mobility problems. Ultrasound of the Kidneys, ureters, and bladder reveal several calculi in both kidneys and is counselled to be a candidate for nephrolithotomy.

Answer the following questions:
1. What pertinent data in the patient’s history may have contributed with the development of renal calculi, defend your answer?
2. Identify three (3) priority nursing diagnoses in relation to the patient’s condition and create a hypothetical Nursing Care Plans for each nursing diagnosis.
3. Identify at least two (2) health teaching points on the prevention of recurrence of renal calculi for the patient.

Answer 1

1.) She is taking calcium carbonate 1000mg once daily for decrease mobility problems due to poor hydration.May be the reason of renal caliculi. 2.) Acute pain related to decreased mobility as evidenced by pain score 6. Activity intolerance related to decreased mobility as evidenced by verbalization. Fear and anxiety related to surgical procedure as evidenced by verbalization. 3.) . Health education regarding to avoid food items like tomato.Drink plenty of water in regular intervals .regular check up and follow up of care.