Nursing Care Plan Essay

Nursing Care Plan
As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain, preventing infection and urinary obstruction, and providing information about disease process and treatments. Physical assessment data included: vital signs B/P 87/51, HR 110, T 99.7 F; weight 160lb, height 5’8”. MK presented to the ED with acute severe right colicky flank pain that radiated into the abdomen and lower back, guarding his abdomen, and moaning. MK rated his pain as a 10 on a scale of 0 to 10. Admission labs included hematuria, dark urine color and specific gravity of 1.034, casts and crystal, calcium level was 500mg/24hr. The patient was assessed for possible appendicitis, urinary tract infection, and
Short-term goals for MK are to control his pain and remain hydrated. He has prescriptions for Hydrocodone/acetaminophen 5-325mg and Ibuprofen 800mg for pain relief. MK was recommended to maintain a fluid intake of at least 2500 ml. a day. Fluid intake is the main component of fluid volume, which is necessary to decrease urine stasis, and increase urine flow, which helps to prevent kidney stone formation. Long-term goals were focused on patient teaching and understanding of the processes of kidney stone formation, possible ways of prevention, and available methods of treatments. Since the formation of kidney stones is strongly tied to lifestyle and diet, dietary modifications play an important role and are a priority in MKs education (researchgate 1). MK was recommended to terminate the use of vitamin D and calcium supplements, calcium intake should not exceed 1,000-1,200 mg daily. He was encouraged to increase his intake of fruits and vegetables, restrict sodium intake, and limit non-dairy animal protein (researchgate). MK was asked to schedule a follow-up appointment with the physician if he decided to get lithotripsy treatment. He was discharged with his