In paragraph formation, may I ask for help on these questions. Thank you. The cl

Question

In paragraph formation, may I ask for help on these questions. Thank you. 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. 1. The client wants to know why you think 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. You instruct 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 you 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?

Explanation / Answer

71) for uti there will be painfull urination , urine maybe pinkish or light red , and have a strong odor

2)severe pain radiating to lower abdomen, persistent urination,nausea and vomiting, more frequent urination

3)blood test to reveal calcium oxalate or Uric acid, urine test, imaging test , analysis of any stone passed

4)should strain all urine some time it’s break and come as small particle

5)sepsis,steinstresse(blocking ureter by fragmented stone),pain,injury to ureters,bleeding

6)-calcium stone- deitery factors

- struvite stone- infection

-uric acid stone- who drink less fluids or high protein diet intake

-cystane stone -hereditary disease

7)for small stone- drink fluids 3 to 4 litter per day, pain reliever (ibuprofen) medical management ( Alfa

blockers

For large stone - wave lithotripsy, per cutaneous nephrolithotomy,using a scope to remove stone,

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