MRS.CONDIFF RENAL CALCULI CASE STUDY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Mrs. Condiff
GENDER Female
AGE 35
SETTING Hospital
ETHNICITY Native American
CULTURAL CONSIDERATIONS
Use of herbal medication at home; no outward sign of pain or distress
PREEXISTING CONDITION
COEXISTING CONDITION
COMMUNICATION
No eye contact made while speaking with health care providers
SOCIOECONOMIC Married
SPIRITUAL/RELIGIOUS
PHARMACOLOGIC
Bolus 1 liter 0.9% Sodium Chloride intravenous (IV); Zofran (ondansetron) IV; Morphine IV
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION Multiple physician orders
DELEGATION
DISABILITY
Overview: The nurse must provide care for a 35-year-old female client with renal calculi. Coordination of care related to laboratory/diagnostic tests and IV medications will be discussed. Cultural considerations of caring for a Native American client are addressed. Priority nursing diagnoses are listed.
Client Profile
Mrs. Condiff is a 35-year-old female who presents to the emergency department with the chief complaint of severe right sided flank pain which began one day ago. She reports feeling nauseated and has vomited once today. Mrs. Condiff does not show any outward appearance of pain but is having some difficulty sitting still. She states, “I feel the need to constantly walk around.” Upon further questioning, the client reveals a history of dysuria, urgency, and frequency of urination. As the nurse obtains a history, she notes that the client has no facial grimace and is not making eye contact. The client states, “I am sorry to come in with this pain, I have tried to treat it at home with Creeping Charlie but it just did not help.”
Case Study
Nursing assessment findings include pale, moist skin, costovertebral tenderness, and restlessness. Her vital signs are blood pressure 142/90, pulse 110, respirations 22, and temperature of 99.8°F (37.7°C) Oxygen saturation is 98% on room air. The emergency physician evaluates Mrs. Condiff and orders the following: (a) urinalysis, strain all urine, (b) white blood count (WBC), (c) comprehensive metabolic panel (CMP), (d) intravenous pyelogram (IVP), (e) 1 liter 0.9% Sodium Chloride bolus, (f) Morphine 4mg IV, and (g) Zofran (ondansetron) 4mg IV. No physician orders have yet been implemented. The emergency physician informs the nurse that he suspects renal calculi to be the cause of this client’s pain. Upon further assessment, the physician reports that the client has a family history of renal calculi. Mrs. Condiff rates the pain at a 9 on a 0-10 pain scale.
Questions
- Condiff asks the nurse, “What are renal calculi” Briefly explain what renal calculi are and how they are formed.
- Identify at least 3 risk factors for renal calculi formation.
- How should the nurse prioritize the physician orders above? Discuss which physician orders should be carried out first and the rationale for how you prioritized the orders.
- Zofran and morphine have been ordered by the physician. Discuss the pharmacological classification of each of these medications, the rate at which they will be administered, and how the nurse will evaluate their effectiveness.
- An IVP diagnostic test was ordered. What is the purpose of this test and what will the nurse do to prepare the client?
- The physician has ordered that the urine needs to be strained. Discuss what straining the urine entails and why it is done.
- Discuss the indication for the WBC, a CMP, and urinalysis ordered for this client.
- In order to provide holistic client care, the nurse must be aware of cultural considerations. Using the information provided in regard to Mrs. Condiff, discuss how the nurse could incorporate culturally relevant care.
- Discuss typical treatment options for renal calculi.
- List five pertinent nursing diagnoses for Mrs. Condiff.
- Discuss ways in which Mrs. Condiff can prevent further formation of renal calculi.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. 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Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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