Question

Choose the correct answer

• Indicate a rational for the answer

16) The patient reports his pain is "10" on a numerical pain scale of "0 to 10". Which of the following interventions would you expect to provide to this patient?

a) Opioid analgesics and high fluid intake

b) Nonsteroidal anti-inflammatory drugs and restricted fluid intake

c) NPO status and antibiotics

d) Anti-ulcer agent

17) The patient successfully passed his kidney stone and is scheduled for discharge home. Because the kidney stone was determined to be a uric acid stone, you counsel the patient about recommended dietary restrictions. Which of the following patient responses indicate the patient needs additional discharge education?

a) "I understand I don't need to restrict my fluids and I should drink enough to avoid dehydration."

b) "I understand I've been prescribed allopurinol, which can help prevent future kidney stones."

c) "I'm glad I can continue to eat a healthy diet. I love having a big plate of mussels with a side of asparagus"

d) “I need to drink more fluids”

18) What additional patient education should you provide this patient?

a) Increase his daily protein intake to greater than 70 g/day.

b) Follow a low-calcium diet.

c) Teach the patient to report any signs and symptoms of a urinary tract infection (UTI) as soon as they present.

d) Notify the healthcare provider for nausea

19) Had the patient not passed his kidney stone, for which of the following interventions would you expect to prepare the patient?

a) Endoscopic retrograde cholangiopancreatography

b) IV pyelogram

c) Lithotripsy

d) KUB

Answer 1

Answer 1: b) Nonsteroidal anti-inflammatory drugs and restricted fluid intake.

Rational: ( Nonsteroidal anti-inflammatory drugs are a drug class that reduce pain, decrease fever, prevent blood clots and, in higher doses, decrease inflammation.)

Answer 2: a) "I understand I don't need to restrict my fluids and I should drink enough to avoid dehydration.

Rational: ( Drinking enough water leads to flush out the toxin from the body as well as the avoid the accumulation of any ind of waste materials in the body.)

Answer 3: c) Teach the patient to report any signs and symptoms of a urinary tract infection (UTI) as soon as they present.

Rational: ( Due to improper functioning of the kidney, in many patiets urinary tract infection occurs)

Answer 4: b) IV pyelogram.

Rational: ( An intravenous pyelogram (IVP) is an x-ray examination of the kidneys, ureters and urinary bladder that uses iodinated contrast material injected into veins)