Question: 2. If you were working in direct contact with this patient, what kind

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Question: 2. If you were working in direct contact with this patient, what kind of safety precautions (if any) would you use? Why? (1 pt) Examination: Abdominal/Pelvis CT Clinical History: 27-year-old female with right sided abdominal pain X2 weeks. History of uterine fibroids, cholecystectomy, and appendectomy. Findings: Three nephroliths are noted in the right renal pelvis measuring 2-3mm. A single 1mmureterolith is seen in the upper third of the right ureter. Additional calculus noted at the ureterovesical junction measuring 2mm. Prominent pyelonephritis is seen in the right kidney also. No hydroureter or ureter strictures are noted. Left kidney appears to be of normal size and density without mass, cyst, or hydronephrosis. A 4cm myoma is noted within the uterus, consistent with previous diagnosis of uterine fibroids. There are clips from prior cholecystectomy, with no evidence of bile duct dilatation. Additional clips are seen in RLQ from prior appendectomy. Impression: 1. Multiple kidney stones as noted above. If renal colic continues, and/or pyelonephritis fails to improve, ESWL may be indicated. 2. Benign myoma in uterus is seen and is unchanged since previous exam. 3. Post surgical clips noted from prior cholecystectomy and appendectomy. 4. No other inflammatory abnormalities are seen within the abdomen or pelvis.

Explanation / Answer

As the patient has multiple kidney stones along with pyelonephritis which an organ as well as life threating infection it is important to pay attention towards the pain symptoms. The nurse should monitor the vitals and reports even the slightest change. The timely antibiotic can be a key to preventing further complications. They must also keep a strict record of intake and output to rule out renal complications at the earliest. The other safety and personal hygiene instruction should be given to the patient.

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