Question

"Educational Needs - Increased acuity

Status assessment reports patient had clear liquid diet, Strict I&O, Strain urine, lithotripsy treatment ordered.

Fall Risk - Increased acuity
Status assessment reports patient has generalized weakness, patient medicated q 30 min x4 with IV morphine 2mg with little relief.

Health Change - Increased acuity
Status assessment reports patient has urinary stones, generalized weakness, GI- n/v, clear liquid diet, Strict I&O, severe pain, stat lithotripsy treatment ordered.

Pain Level - Increased acuity
Normal, rationale: Patient states the pain has subsided

Psychological Needs - Normal acuity
Status assessment reports no indication of increased psychological acuity.

Sensorium - Normal acuity
Status assessment reports no indication of increased sensorium acuity."

Answer 1

The medical evaluation of the patient involves kidney function tests, pain and fall risk assessments, and treatment planning for urinary stones. Tests like concentration test, urine osmolality test, and 24-hour urine collection are instrumental in assessing renal function, with intervention strategies including strict I&O monitoring, clear liquid diet, strain urine, and lithotripsy treatment.

Step-by-step explanation:

The inquiry relates to the medical field, particularly the assessment and management of a patient with urinary stones, pain, and potential kidney function issues. Evaluation of kidney function can be performed using a variety of tests like the concentration test, urine osmolality test, and a 24 hour urine collection. These tests measure the kidney's ability to concentrate or dilute urine, with parameters such as specific gravity, osmolality, and 24-hour urine substance levels providing insight into renal performance. Conditions such as kidney stones can result in symptoms like pain, gastrointestinal distress, and increased risk of falls due to medication effects.

Interventions such as strict input and output (I&O) monitoring, dietary modifications (clear liquid diet), strain urine, and treatments like lithotripsy are essential in managing the patient's condition. Additionally, the risk of fall and pain management with medications like IV morphine are crucial for patient safety and comfort.