Professional Documents
Culture Documents
Thinking Like A Nurse
Thinking Like A Nurse
Thinking Like A Nurse
Mary Tilman-Brown was not feeling well over the past several days. She tried to get an appointment
with her primary care provider, but the next available appointment is tomorrow afternoon. She decided
she could not wait and had her husband, Jack, bring her to the ER at midnight last night. Upon arrival to
the ER, Mary complains of severe flank pain. She was admitted to your healthcare facility.
1. Based on the assessment findings, choose the most likely options for the information
missing from the table below. Note that not all options will be used.
Initially, upon arrival to the ED, Mary would have _________1__________ to determine
the cause of the pain. In order to determine the cause of Mary’s pain, the nurse anticipates
that Mary will have a ___________2____________ to assess for calcium, uric acid, creatine,
sodium, and total volume. Lastly, Mary would have ___________3___________ to determine
kidney function.
Options
CT with contrast
CT without contrast
24-hour urine
Blood chemistries
KUB
Complete blood count
Urine Culture and
Sensitivity
2. Indicate which nursing action listed in the far-left column is appropriate for each of Mary’s
problems.
3. What teaching would you provide Mary during this hospitalization? About ESWL, both
before and after the procedure? Select all that apply.
____ Strain urine and flush strained contents with each void
For each assessment finding, use an X to indicate whether the interventions were
Effective (helped to meet expected outcomes), Ineffective (did not help to meet
expected outcomes), or Unrelated (not related to the expected outcomes).
5. What education would you provide Mary about the avoidance of future episodes? Select
all that apply.