Question

The client comes to the emergency department reporting severe flank pain radiating to the abdomen and scrotum. The client is diaphoretic and complaining of intense nausea. The initial diagnosis is kidney stones. (Learning Objectives: 10–13) 1. The client wants to know why the doctor thinks it is a kidney stone rather than a urinary tract infection (UTI). What manifestations are typically associated with a UTI? 2. What are the manifestations associated with a kidney stone? 3. What diagnostic testing would be helpful in confirming the diagnosis? 4. The nurse instructs the client to strain all of his urine. The client responds, “Why do I need to strain it? Don’t you think I will know when I pass it?” How should the nurse respond? 5. What is a possible complication associated with kidney stones? 6. What are the different types of stones and what are possible causes of each? 7. What are some treatment options at this point?

Answer 1

1, Manifestations associated with UTI are pelvic pain, urgent urination, burning sensation while passing urine, cloudy urine, passing frequent and small quantity urine and strong urine smell while urinating.
2, Manifestations associated with kidney stones are flank pain and pain below the ribs, pain radiating to lower abdomen and groin and it fluctuates in intensity. Pain while urinating, nausea, vomiting, high urination than usual, fever and chills.
3, Diagnostic tests;
Serum calcium, uric acid, 24 hours urine collection, X-ray abdomen, CT abdomen, ultrasound abdomen, and IVurogrphy.
4, Analysis of urine for identifying passed stones is a diagnostic procedure. strains the urine after passing urine will reveal the kidney stones, it helps for determining the cause for kidney stones and plan of care to prevent the kidney stones.
5, Complications associated with kidney stones are an infection, sepsis, UTI, bleeding, injury to ureter, the blockage between kidney to the bladder, chronic kidney disease.