NUR 1212 Case Study - Adult Hephrolithiasis Questions and Answers 2024/2025
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Course
NUR 1212
Institution
NUR 1212
Mr. Skene quietly paces in the ED waiting area with his hands on his hips and rubbing his midlower left side. He has a flat facial expression. Which factor is most important for the nurse to
consider when interpreting this client's pain behavior?
→ Client's cultural identity.
The nurse takes...
NUR 1212 Case Study - Adult
Hephrolithiasis Questions and Answers
2024/2025
Mr. Skene quietly paces in the ED waiting area with his hands on his hips and rubbing his mid-
lower left side. He has a flat facial expression. Which factor is most important for the nurse to
consider when interpreting this client's pain behavior?
→ Client's cultural identity.
The nurse takes Mr. Skene to the triage area and performs a focused assessment of his
nontraumatic, mid-lower flank pain. If a client has symptoms of tenderness at the
costovertebral angle (CVA), what should be the nurse's priority?
→ Assess for bladder distention.
The triage nurse continues to assess Mr. Skene's pain. Which elements should be included in the
pain assessment? (Select all that apply.)
→ Quality, severity, timing
In 5 minutes, the triage nurse takes Mr. and Mrs. Skene to a treatment room, where the ED
nurse interviews Mr. Skene about his health history. Which reported chronic condition in Mr.
Skene's health history is most significant to his acute condition and the reason for this visit?
→ Gouty arthritis.
In 20 minutes, the healthcare provider (HCP) visits Mr. Skene and prescribes one tablet of
hydrocodone/acetaminophen 5 mg/300 mg by mouth to be given now as a preliminary pain
medication. Which data in the client's medical record is important for the nurse to review
before administering hydrocodone/acetaminophen ? (Select all that apply.)
→ Allergies, Home medications, Liver enzymes, Vital signs
Mr. Skene's medical record has no allergies listed. Which action is the best intervention for the
nurse to perform next?
→ Ask the client if he has any food or drug allergies.
Mr. Skene reports to the nurse that he has a codeine allergy. When he had a cold last winter,
he was prescribed cough syrup with codeine and it gave him a rash all over his body. The
HCP advised his wife to give him diphenhydramine 50 mg by mouth and it got better in a
couple of days. He states that he stopped taking the cough syrup and he eventually got
better. The nurse records the allergy report in Mr. Skene's medical record and prepares to
speak with the HCP. Which information is important for the nurse to include in the conversation
with the HCP? (Select all that apply.)
→ The client has no allergies listed in his medical record
→
→ Hydrocodone/acetaminophen is prescribed for pain.
→
→ The client reports that cough syrup with codeine gave him a rash.
→
→ The nurse requests a prescription for fentanyl 50 mcg intravenous now.
The HCP cancels the hydrocodone/acetaminophen prescription and prescribes fentanyl 50
mcg intravenously one time now with a 500 mL normal saline bolus. Prescriptions for
abdominal radiography and computed tomography (CT) scan with contrast are also added.
The nurse obtains a vial of fentanyl for intravenous administration from the medication cabinet.
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