Nurse Hazel is ware that the following is an appropriate nursing diagnosis for a client with renal calculi?
- A. Ineffective tissue perfusion
- B. Functional urinary incontinence
- C. Risk for infection
- D. Decreased cardiac output
Out of the options you provided, the most appropriate nursing diagnosis for a client with renal calculi for Nurse Hazel to consider is: C. Risk for infection
Here's why:
- Ineffective tissue perfusion (A):
While kidney stones can affect blood flow to the kidneys, it's not typically the primary concern unless there are serious complications.
- Functional urinary incontinence (B):
This typically refers to involuntary loss of urine due to bladder muscle weakness or other factors, which isn't directly related to kidney stones.
- Decreased cardiac output (D):
This isn't a common consequence of kidney stones and wouldn't be the main focus of care.
Infection:
Risk for infection is a common concern with kidney stones because:
The stones can irritate the urinary tract, increasing the risk of bacteria entering and causing infection.
Obstruction caused by the stones can lead to stagnant urine, creating a breeding ground for bacteria.
Prevent or Manage Infections:
Some types of kidney stones, like struvite stones, are associated with chronic urinary tract infections.
Therefore, C. Risk for infection is the most relevant nursing diagnosis for Nurse Hazel to consider for her client with renal calculi. This will guide her to implement appropriate interventions to prevent or manage infections, such as:
- Encouraging adequate fluid intake to flush out the kidneys and urinary tract.
- Administering medications to manage pain and prevent spasms.
- Monitoring for signs and symptoms of infection, such as fever, chills, and burning urination.
- Providing education about the importance of good hygiene and early recognition of infection symptoms.
Remember, this is just a general guideline, and the specific nursing diagnosis and interventions will depend on the individual client's situation and medical history. Nurse Hazel should use her clinical judgment and collaborate with the healthcare team to provide the best possible care for her client.
