A patient is a 74 years old white male presented in the emergency room with a...

A patient is a 74 years old white male presented in the emergency room with a chief c/o right flank pain radiating to the lower abdomen associated with painful, burning urination and a foul smelling urine. Patient denies fever or chills. A urinalysis was done which showed a 3+ bacteria with a positive nitrite and elevated WBC. Intravenous pyelogram showed a 6.5 mm kidney stone in the right ureter. The patient is being treated with broad spectrum intravenous antibiotic and was scheduled for lithotripsy. Formulate a nursing care plan for this patient based on the problems presented. Provide a minimum of 3 (three) nursing problems.

Expert Solution

Nursing priorities:-

Maintain adequate renal functioning.
Prevent complication.
Provide information about disease process, prognosis and treatment needs.

Assesment:-

Assess for pain and discomfort.
Assess for any associated symptom.
Observe for sign of UTI and obstruction.
Observe urine for blood.

Nursing intervention:-

Relieving pain:-

Administer opioids analgesics.
Encourage and assist patient to take a position comfortable for him.
Assist the patient to ambulate as it helps relieving pain.
Monitor the pain closely and report immediately if it increases.

Monitoring and managing complications:-

Encourage the patient to increase fluid intake and also ask the patient to ambulate even if it pains a bit.
Begin IV fluids if patient cannot take adequate oral fluids.
Monitor the urine output closely and regularly.
Instruct the patient to report if any increase in pain occurs.

Nursing problems:-

The patient may not cooperate due to pain.
Infection may occur if not inspected properly.
Urosepsis is also a major concern.
Obstruction of urinary tract by a stone or edema.

The mentioned complication should be throughly assessed to provide a proper and effective nursing care.

Nightingale answered 2 years ago

Mr. Jones is a 75 year old male patient that presented in emergency room with a history of cardiovascular disease (CAD).

Discuss the underlying pathophysiology of the following patient. Describe the alterations in health and treatment modalities. Please respond thoughtfully and in details of what a nurse would do.1. Mr. Jones is a 75 year old male patient that presented in emergency room with a history of cardiovascular disease (CAD). He came to emergency room with complaints of crushing chest pain, dizziness and nausea. The patient is able to communicate but his wife is also present. Abnormal ECG readings reveal...

Concept: Fecal Elimination: Patient Jared, a 28-years-old male came into the emergency room due to diarrhea...

Concept: Fecal Elimination: Patient Jared, a 28-years-old male came into the emergency room due to diarrhea and abdominal pain. As the nurse interviewed him, these are the information he revealed. “I have been vomiting since last night a few hours after dinner. I thought it would just pass and I would be able to sleep. But It kept me going to the toilet several times,” he said. The nurse further asked him, ‘What did you have for dinner, and did...

Mr. Schmidt is a 56 year old male patient who presented to the emergency department with...

Mr. Schmidt is a 56 year old male patient who presented to the emergency department with complaints of left foot pain and swelling, fever and chills for 2-3 days. The client reported increasing discomfort to the foot with noticeable redness that also seems to be worsening. He has an ulcer to the dorsum of the left foot. The client noted that he was seen by his family physician a week ago and a swab was done on the ulcer which...

1Mr M. is a 50 years old male patient who came in to the emergency department...

1Mr M. is a 50 years old male patient who came in to the emergency department with complaint of chest paln while mowing his lawn. He is accompained by his lawn. He is accompained byhis wife, who says that he was working in the yard and had to call for help because of his discomfort. He complains of chest pain, rated at a 7 on a 0 to 10 scale and describes it as a feeling of pressure in the...

Patient Introduction Mr. Watkins is a 69-year-old male who presented to the Emergency Department 4 days...

Patient Introduction Mr. Watkins is a 69-year-old male who presented to the Emergency Department 4 days ago with complaints of nausea, vomiting, and severe abdominal pain and was admitted for emergent surgery for bowel perforation. He underwent a hemicolectomy. He has a midline abdominal incision without redness, swelling, or drainage. He is tolerating a soft diet without nausea or vomiting. Bowel sounds are present in all four abdominal quadrants. He had a bowel movement yesterday. Last urinary output was 400...

27 years old male patient is admitted to the emergency department following a motor cycle accident....

27 years old male patient is admitted to the emergency department following a motor cycle accident. His MR images reveal a C-5 and C-6 spinal nerve injuries.(max 250 words) a) What kind of motor losses of the upper extremity would you expect in this patient? (1 point) b) Which muscles would be affected in this patient?(1 point) c) Which areas of the upper extremity would be affected in means of sensory functions? (1 point) d) Which reflexes would be compromised...

A patient presented to the emergency room with an irregular heart rate and confusion. His medical...

A patient presented to the emergency room with an irregular heart rate and confusion. His medical history is significant of congestive heart failure and taking diuretics and digoxin. 2 weeks ago, he presented to his primary care provider with an acute exacerbation of a chronic skin infection he had. He was prescribed erythromycin as he has a penicillin allergy and he responded well to erythromycin before. The Emergency room physician suspected digoxin toxicity. The patient’s family reported that he never...

Your patient presented to the emergency room with acute alcohol toxicity and has a history of...

Your patient presented to the emergency room with acute alcohol toxicity and has a history of drinking 1/5 of Vodka per day for the past 15 years. During his stay in the ICU he went through a very hard withdrawal period experiencing delirium tremens. He is now on your med / s * u * r * g floor not requiring CIWA protocol any longer but with severe pancreatitis. He will have to be NPO for weeks and will require...

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath,...

D.G. is a 74-year-old woman who arrives at the emergency room complaining of shortness of breath, palpitations (for 2 days), and lower extremity edema. Her medical history includes diabetes mellitus, hypertension, heart failure with reduced ejection fraction, and osteoarthritis. She had a left heart catheterization and coronary angiography last year and has no significant coronary artery disease. She has a biventricular pacemaker/implantable defibrillator for heart failure symptom treatment and sudden cardiac death prevention. The patient’s current medications are losartan 100...

Harrison Richmond at my 27 year old male is seen in the emergency room for a...

Harrison Richmond at my 27 year old male is seen in the emergency room for a sprain back (coccyx)suffered as a result of falling off a horse he was riding in the local public park. Principal Diagnosis: What is the correct diagnosis code? Principal External Cause Code: What is the correct diagnosis code? Second External Code: What is the correct diagnosis code?

Question