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A patient is admitted with renal calculi.

1. What symptoms will the patient manifest if he is experiencing renal colic?

• A patient experiencing renal colic will mainly have pain. The type of pain felt with renal colic is “colicky” as the stone blocks the outflow and stretches the ureter. This pain is reflected in the flank of the side being affected (Grossman & Porth, 2014). This pain may also radiate to the lower abdomen/bladder region and nausea and vomiting may also accompany renal colic.

1. How will the nurse best manage the renal colic?

• The best way to manage renal colic is to first alleviate the pain and any other accompanying symptom as this can cause extreme anxiety in the patient. Antibiotic treatment may also be implemented. Once pain is relieved and the stone has passed, all efforts should be made to ensure it does not happen again. Also ensuring an adequate fluid intake can help prevent the recurrence (Grossman & Porth, 2014).

1. The nurse is straining the urine for presence of stones that the patient may have passed. What is the importance of this nursing action?

•  It is of extreme importance to strain the urine to identify the chemical components of the stone. This dictates the course to follow, what dietary changes need to be made, what medication needs to be prescribed, long-term measures to avoid new stone formation, and it helps also to identify any underlying cause (Grossman & Porth, 2014).

Reference

Grossman, S. C., & Porth, C. (2014). Porth’s pathophysiology: concepts of altered health states. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.