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CRITICAL THINKING ACTIVITIES Activity 1 36. A 42-year-old patient has a history of frequent urinary tract infections and is admitted to the unit with a diagnosis of pyelonephritis. (1669 1670) a. What signs and symptoms would the nurse anticipate the patient to demonstrate? b. Discuss the diagnostic tests that may be used in the treatment of the patient and the probable results, Activity 2 37. A patient comes to the emergency department for severe flank pain, nausea, and vomiting. The patient reports that the pain starts in the flank area and radiates to the groin and inner thigh. A urinalysis re- veals the presence of hematuria (1672 1673) a. What medical diagnosis does the nurse anticipate? b. Discuss the conservative and invasive techniques that may be used in the management of this condition. c. After successful treatment, the nurse is preparing the patient for discharge. Discuss long-term preventive management options. Include diet and medications. Activity 3 38. A 53-year-old man was in a motor vehicle accident 4 days ago. He sustained serious trauma with hypo- volemia that was treated in the emergency department. He has been diagnosed with acute renal failure and is currently in the oliguric phase. (1685, 1686) What potential clinical manifestations should the nurse be aware of when completing the nursing assessment? a. b. Discuss the three phases of acute renal failure. c. The patient’s wife asks if she can bring him a hamburger and fries from a local fast-food restaurant. How will the nurse respond? Activity 4 39. A 22-year-old woman seeks care at the health care provider’s office complaining of burning with urina- tion, perineal pain, and blood-tinged urine. She is diagnosed with a urinary tract infection. (1658, 1667) Why are women more prone to urinary tract infections compared to men? a. b. What other signs and symptoms may be present? c. What medical treatments can be anticipated in the management of this patient? d. What self-care measures should the nurse suggest to the patient to prevent urinary tract infections?
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