Care of the Client with Urinary Problems

Care of the Client with Urinary Problems Case Study #1 Jeff Downy is a 34-year-old business executive. He has been training for a marathon and has been running during the last couple of days in very hot weather. He admits that he does not drink as much fluid as he should during his workouts. He eats a high protein diet. He has a history of hypertension, high cholesterol, and gout. Mr. Downy complains of constant flank pain and blood in the urine. He also has intermittent, severe cramping abdominal pain. What tests would you expect his physician to order? 3. Based on his history, what type of kidney stone is most likely to develop? Mr. Downy was admitted to the hospital for management of his renal stone. 4. What type of nursing care would Mr. Downy require when he is admitted? 5. Why is it important to analyze any stone that is spontaneously passed by the patient? It was discovered that he had a 7.8 mm stone obstructing his left ureter. His BUN is 26 and his creatinine is 1.3. Therefore, he would undergo extracorporeal shock-wave lithotripsy. 6. What patient teaching would you need to provide for Mr. Downy prior to the procedure? 7. What other procedure will be done to facilitate passage of the shattered stone? 8. What discharge instructions should he be given to prevent a recurrence of a kidney stone?

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