Medsurg II ?s from quizlet
Terms in this set (135)
A 45-year-old patient has breast cancer that has spread to the liver and spine. The patient has been taking oxycodone and amitriptyline for pain control at home but now has constant severe pain and is hospitalized for pain control and development of a pain management program. When doing the initial assessment which question will be most appropriate to ask first?
How would you describe your pain?
A patient who uses fentanyl patch for chronic cancer pain complains to the nurse of the rapid onset of pain at a level 9 and requests "something for pain that will work quickly." The best way for the nurse to document this information is as
For which of these actions by an inexperienced staff member would the charge nurse be required to intervene?
Walking into the hallway outside an operating room without the hair covered.
The postoperative patient who has undergone extensive bowel surgery moves as little as possible and does not use the incentive sparometer unless specifically reminded the patient rates the pain severity as an 8 on a 10 point scale but tells the nurse "I can tough it out." In encouraging the patient to use pain medication the best explanation by the nurse is that
Unrelieved pain can be harmful due to the effects on the respiratory function and activity level
The nurse is evaluating the effectiveness of imipramine a tricyclic antidepressant for a patient who is receiving the medication to help relieve chronic cancer pain, which information is the best indicator that the imipramine is effective?
The patient says that the pain is manageable and that he or she can accomplish desired activities.
The nurse is assessing a 36-year-old woman who has been admitted for knee surgery. Which information obtained during the preoperative assessment should be reported to appropriate care providers?
The patient statement that her last menstrual period was eight weeks previously.
A diabetic patient who well-controlled with insulin injections at home has been NPO since midnight, for a scheduled left mastectomy. The nurse will anticipate the need to
Obtain a blood glucose measurement document and inform.
An 85-year-old woman with a left hip fracture is scheduled for surgery she has Alzheimer's disease and is only oriented to her name. Which of the following should the nurse look for on the informed consent?
The signature of a person who has legal guardianship of the patient.
A pre-operative patient is to receive ranitidine Zantac and sodium citrate on arrival to the preoperative setting. The patient asked why he is receiving the medications the nurse explains that these medications will
Decreased gastric acid production and neutralize gastric contents.
A patient is to have a left inguinal hernia repair at the outpatient surgery center preoperatively it is most important for the nurse to determine whether
The patient has someone available for transportation and care at home.
The nurse is reviewing the complete blood cell count CBC results for a patient who is scheduled for surgery in a few days. The results include red blood cell count 4.6 white blood cell count 10.2 hemoglobin 15 g/dL HCT 45% platelets 150, which action should the nurse take?
Send the CBC results to the surgery facility.
A patient who has fallen and was admitted to the hospital setting is scheduled for a right hip pinning surgery in the early afternoon the following day. The patient receives and ingests a breakfast tray of clear liquids the morning of surgery. The nurse notifies the anesthesia care provider ACP with the expectation the patient
Will be able to undergo surgery as scheduled.
When the nurses performing a physical examination on a patient who smokes and who is being admitted on the day of surgery it is especially important for the nurse to
Auscultate for abnormal and adventitious breath sounds.
A patient is scheduled for a minor hemorrhoidectomy at an ambulatory day surgery center. An advantage of performing surgery at an ambulatory center is a decreased need for
Perioperative laboratory tests and medications.
A patient who is nauseated and vomiting up blood streaked fluid is admitted to the hospital with acute G.I. distress, when obtaining the admission health history it will be most important for the nurse to ask the patient about
Frequency of nonsteroidal anti-inflammatory drug (NSAID) use.
A patient who is vomiting bright red blood is admitted to the emergency department. Which assessment should the nurse accomplish first?
Taking the blood pressure and pulse.
A patient with a bleeding duodenal ulcer has an NG tube in place, and the healthcare provider ordered 30 mL of aluminum hydroxide/magnesium hydroxide to be instilled through the tube every hour. To evaluate the effectiveness of this treatment, the nurse
Periodically aspirated and tests gastric pH.
A client is scheduled for a pyloroplasty and vagotomy because of the strictures caused by ulcers unresponsive to medical therapy. What information about the purpose of a vagotomy should the nurse include when reviewing the healthcare providers discussion with the client?
Decreases secretions in the stomach
A patient with recurrent heartburn receives a new prescription for Nexium. In teaching the patient about this medication the nurse explains that this drug
Treats gastroesophageal reflux disease by decreasing stomach acid production
12 hours after undergoing a Gastroduodectomy (biliroth I) for treatment of a perforated ulcer a patient complains of increasing abdominal pain. The nursing assessment reveals an absence of bowel sounds and 200 mL of bright red NG drainage in the last hour. The most appropriate action by the nurse at this time is to
Notify the healthcare provider.
When admitting a patient with a stroke who is unconscious and unresponsive to stimuli the nurse learns from the patient's family that the patient has a history of GERD. The nurse will plan to do frequent assessment of the patient's
A patient who has recently been experiencing frequent heartburn is seen in the clinic the nurse will anticipate teaching the patient about
Proton pump inhibitors
After a cholecystectomy a client asked why he has to have a nasogastric NG tube. The nurse states the purpose of the NG tube is to
Prevent post operative distention
Which of these assessment findings in a patient with a hiatal hernia returned from a laparoscopic Nissen fundoplication four hours ago is most important for the nurse to address immediately?
The patient has absent breath sounds throughout the left lung.
The nurse from the general surgical unit is asked to bring the patients hearing aid to the surgical suite. The nurse will take the hearing aid to the
Nursing station or information desk.
The intraoperative activity that is performed by the perioperative nurse and is specific to the circulating function is
Admitting identifying and assessing the patient.
The nurse recognizes that the use of the local anesthesia would be particularly beneficial to a patient when
The patient has recently taken food and fluids.
Intravenous induction of general anesthesia is the method of choice for most patients because
Induction is rapid and pleasant.
The nurses primary responsibility for the care of a patient undergoing surgery is
Developing an individualized plan of nursing care for the patient.
A pre-operative patient is in the holding area and asked the nurse, "will the doctor put me to sleep with a mask over my face?" The most appropriate response by the nurse is
A drug will be injected through your IV line which will cause you to get sleepy almost immediately, then a mask may be used to deliver anesthetics.
A patient with a dislocated shoulder is prepared for a closed manual reduction of the dislocated with conscious sedation. The nurse will anticipate the administration of
IV midazolam (Verced).
A patient's family history reveals that the patient may be at risk for malignant hyperthermia MH during anesthesia. The nurse explained to the patient that
As long as succinylcholine (Anectine) is not administered as a muscle relaxent the reaction should not occur.
A patient in surgery received neuromuscular blocking agents as adjunct to general anesthesia. At completion of the surgery it is most important that the nurse monitor the patient for
Weak chest wall movement
The description that best defines the role of the nurse anesthetist as a member of the surgical team is that he or she
May function independently in the administration of anesthetics
The physical environment and traffic control measures of the operating room are designed primarily to
Prevent transmission of infection.
When maintaining aseptic technique in the operating room the perioperative nurse who is in the scrubbing role will
Change gloves after touching the upper arm of the surgeon's gown.
The nurse notes that a preoperative patient is drowsy but oriented in the receiving area. To identify the patient the nurse should
Have the patient state name, doctors name, and the operative procedure planned in addition to checking the hospital number, ID band and chart
Preoperatively considerations for the geriatric patients include, but are not limited to are (select all that apply)
1.use large print educational materials.
2.Recognize that a sensory deficit may be present. 3.Provide more time for teaching and evaluation.
Appropriate preoperative teaching for a patient scheduled for abdominal surgery includes (select all that apply)
1.Methods for effective deep breathing and coughing. 2.Preoperative medications. 3.Expected postoperative outcomes
During a preoperative assessment of a patient scheduled for a: resection the patient tells the nurse about using St. John's wort to prevent depression. The nurse should alert the staff in the post anesthesia recovery unit PACU that the patient may
Take longer to recover from anesthesia.
As the nurse prepares a patient the morning of surgery the patient refuses to remove a wedding ring saying "I have never taken it off since the day I was married." The nurse should
Tape the wedding ring securely to the patients finger.
The patient who has begun to awaken after 30 minutes in the PACU is restless and shouting at the nurse. The patient's oxygen saturation is 99% and recent lab results are all normal. Which action by the nurse is most appropriate?
Be sure that the patient's IV lines are secure.
To promote venous return from the lower extremities for a patient who has had an open cholecystectomy the nurse will encourage the patient to do which exercises (select all that apply)
1. Dorsey flex and plantar flex the feet. 2. Press the back of the knee into the bed while lying supine.
The nasogastric NG tube is removed on the second postoperative day for a patient who has abdominal surgery. A clear liquid diet is ordered. Four hours later the patient complains of abdominal distention and sharp cramping gas pains. The most appropriate action is to
Assist the patient to ambulate in the hall.
When caring for a patient with abdominal surgery the first postoperative day the nurse notices new bright red drainage about 6 cm in diameter on the dressing. In response to this finding the nurse should initially
Take the patient's vital signs.
An 83-year-old patient had surgical repair of a hip fracture and has restrictions on ambulation. Based on this information the nurse identifies the priority collaborative problem for the patient as potential complication
The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance and a postoperative patient have been successful when the
Patients breath sounds are clear to auscultation
While caring for a postoperative patient on the second postoperative day which information about the patient is most important to communicate to the healthcare provider?
The right calf is swollen, warm, and painful.
On admission of a patient to the post anesthesia care unit from surgery the nurse should first assess the
Patient's oxygen saturation.
A 42-year-old patient is recovering from anesthesia in the PACU. On admission to the PACU blood pressure was 124/70. 30 minutes after admission the BP Falls two 112/60, with a pulse of 72 and warm dry skin. The most appropriate action by the nurse at this time is to
Continue to take vital signs every 15 minutes
During recovery from anesthesia in the PACU a patient's vital signs for the past hour have been BP 112/82, 110/82, 112/80, 114/82; And respirations 22, 24, 24, 26; her SPO2 is 90%. The patient is sleepy but awake and is easily oriented when spoken to. Her surgical dressing is dry and intact. The most appropriate action by the nurse is to
Encourage the patient to take a deep breath.
While assessing patients for complications during recovery from anesthesia, the nurse recognizes that the patient who is at the greatest risk for developing postoperative hypothermia is a
48-year-old trauma victim having repair of multiple injuries under general anesthesia.
When a patient is transferred from the PACU to the clinical surgical units, the first action by the nurse on the surgical unit should be to
Take the patient's vital signs.
The patient with chronic cancer related pain has started using MS Contin for pain control and has developed common side effects of the drug. The nurse reassures the patient that tolerance will develop to most of these side effects, but that continued treatment will be required for the
Caution should be exercised in administration of opioids in which of the following situations(select all that apply)
1. A sedated client with respiratory rate of 8 breaths per minute. 2. A client with urinary retention. 3. A client taking multiple opioids
Miss Smith is 36 hours postop following a abdominal hysterectomy she describes abdominal pain at 7/10. It is cramping in nature and intermittent. Her bowel sounds are hypoactive and she denies passing flatus. The best intervention would be
Ambulation in the hall twice per shift
Adjuvant medications are
Medications given in conjunction with pain medications.
To obtain the most complete assessment data about a patient's chronic pain pattern the nurse asks the patient
Can you describe your daily activities in relation to your pain
The patient receiving morphine sulfate intravenously IV for right flank pain associated with a kidney stone in the right ureter. The patient also complains of right inner thigh pain and asked the nurse whether something is wrong with the right leg. And responding to the question the nurse understands that the patient
Is experiencing referred pain from the kidney stone.
A healthcare provider plans to titrate a PCA to provide pain relief for a patient with acute surgical pain who has never used opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time? (Select all that apply)
1. Monitoring for therapeutic an adverse effects of opioid administration. 2. Educating the patient about how analgesics improve postoperative activity level.
Pain has been defined as "whatever the person experiencing the pain says it is, existing whenever the patient says it does." The definition is problematic when caring for a patient who has
Decreased cognitive function.
Following x-rays of an injured wrist the patient is informed that it is badly sprained. In teaching the patient to care for the injury the nurse tells the patient to
Use pillows to keep the arm elevated above the heart
A patient with a comminuted fracture of the right femur has bucks traction in place while waiting for surgery. To assess for pressure areas on the patients back and sacral area and to provide skincare the nurse should
Have the patient lift the buttocks by bending and pushing with the left leg
A patient is admitted to the emergency department with possible fractures of the bones of the left lower extremity. The initial action by the nurse should be to
Check the Popliteal, dorsalis pedis, and posterior tibial pulses.
A patient has a short arm plaster cast applied at the outpatient center for a wrist fracture. An understanding of discharge teaching is apparent when the patient says
I will apply an ice pack to the cast over the fracture site for the next 24 hours.
A patient with comminuted fractures of the tibia and fibula is treated with an open reduction and application of external fixator. The next day the patient complains of severe pain in the leg which is unrelieved with ordered analgesics. The patients toes are pink but the patient complains of numbness and tingling. The most appropriate action by the nurse is to
Notify the patient's healthcare provider.
A patient with an intracapsular fracture of the left femur is placed on bucks traction before surgery for a hip replacement. The patient asked why traction is necessary when surgery is planned. The nurses response to the patient is based on the knowledge that traction
Will decrease the incidence of painful spasms
On the first postoperative day a patient with a below the knee amputation complains of pain in the amputated limb. An appropriate action by the nurse is to
Administer prescribed opioids to relieve the pain.
The patient with severe osteoarthritis of the left knee has undergone left knee arthroplasty with replacement of the total knee joint with a plastic prosthesis. Postoperatively the nurse expects care of the leg to include
Progressive leg exercises to obtain 90° flexion.
A patient has been hospitalized for three days with a hip fracture and bucks traction.The patient has sudden onset of shortness of breath and tachypnea. The patient tells the nurse, "I feel like I'm going to die!" Which action should the nurse take first?
Administer oxygen at 4 L/minute by nasal cannula.
The patient with an open fracture of the left tibia and soft tissue damage underwent a surgical reduction and fixation of the tibia with debridement of nonviable tissue and drain placement. When assessing the patient during the post operative, the nurse will be most concerned about
Fever with chills and night sweats.
The patient was hospitalized for initiation of regional antibiotic perfusion for acute osteomyelitis of the right femur. Which intervention will be included in the plan of care?
Immobilization of the right leg.
The patient has chronic osteomyelitis of the left femur which is being managed at home with self administration of IV antibiotics. On a home visit the nurse identifies the nursing diagnosis of uneffective therapeutic regimen management when the nurse finds that the patient
Is unable to plantar flex the foot on the affected side.
The nurse identifies a nursing diagnosis of pain related to muscle spasms for a patient with acute low back pain associated with acute lumbosacral strain. An appropriate nursing intervention for this problem is to teach the patient to
Keep the head elevated slightly and flex the knees when resting in bed.
When administering alendronate Fosamax to a patient the nurse will first
Assist the patient to sit up at the bedside.
The patient is receiving gentamicin 80 mg IV twice daily for acute osteomyelitis. Which action should the nurse take before administering the gentamicin?
Review the patient's BUN and creatinine levels
The 60 y/o patient has osteoarthritis of the left knee. A finding that the nurse would expect to be present on examination of the patient's knee is
Pain upon joint movement.
58-year-old patient has been diagnosed with osteoarthritis of the hands and feet. The patient tells the nurse, "I am afraid that I will be hopelessly crippled in just a few years!" The best response by the nurse is that
OA is common with aging, but usually is localized and does not cause deformity.
A 70-year-old obese patient has bilateral OA of the hips. The nurse teaches the patient that the most beneficial measure to protect the joints is to
Eat according to a weight reduction diet to obtain a healthy body weight.
The healthcare provider prescribes methotrexate for a 28-year-old woman with stage II moderate rheumatoid arthritis. When obtaining a health history from the patient the most important information for the nurse to communicate to the healthcare provider is that the patient has
Been trying to have a baby before her disease becomes more severe
A patient with a history of asthma is admitted to the hospital in acute respiratory distress. During assessment of the patient the nurse would notify the healthcare provider immediately about
Decreased breath sounds and wheezing
The nurse recognizes that intubation and mechanical ventilation are indicated for a patient in status asthmaticus when
Fatigue and O2 saturation of 88% develop.
When preparing a patient with possible asthma for pulmonary function testing the nurse will teach the patient to
Withhold bronchodilators for 6 to 12 hours before the examination.
Which finding would be the indication to the nurse that the patient having an acute asthma attack was responding to the prescribed therapy?
Wheezes are more easily heard.
During assessment of a patient with a history of asthma the nurse notes wheezing and dyspnea. The nurse will anticipate giving medication to reduce
A patient with an acute attack of asthma comes to the emergency department where ABG's are drawn. The nurse determines the patient is in the early phase of the attack based on the ABG's results of
pH 7.4 PaCO2 32mmHg and PaO2 70mmHg
While teaching a patient with asthma the appropriate use of a peak flow meter, the nurse instructs the patient to
Take and record peak and flow readings when having asthma symptoms or an attack.
When teaching a patient with chronic obstructive pulmonary disease COPD about the reasons to quit smoking the nurse will explain that long-term exposure to tobacco smoke leads to a
Decrease in the area available for oxygen absorption.
The patient is seen in the clinic with COPD. Which information given by the patient would help most in confirming a diagnosis of chronic bronchitis?
The patient complains of having a productive cough every day
The nurse teaches a patient with COPD how to perform purse lip breathing, in explaining that this technique will assist respiration by
Preventing airway collapse and air trapping in the lungs during expiration.
When reading the chart of a patient with COPD, the nurse notes that the patient has cor pulmonale. To assess for cor pulmonale, the nurse will monitor the patient for
Jugular vein distention.
When a patient with COPD is receiving oxygen the best action by the nurses to
Maintain the pulse oximetry level at 90% or greater.
A patient with COPD tells the nurse, "at home I only have to use an albuterol inhaler. Why did the doctor add an Atrovent inhaler while I'm in the hospital?" The appropriate response by the nurse is
Atrovent works differently to dilate the bronchi and the two drugs together are more effective.
All of these orders are received for a patient having an acute asthma attack. Which one will the nurse administer first
Albuterol 2.5 mg per nebulizer
When teaching the patient with COPD about exercise, which information should the nurse include?
Use the bronchodilator before you start to exercise.
Patient with type II diabetes mellitus may be able to control their disease with
Diet, exercise, and oral antidiabetic medication.
Glyburide is prescribed for a patient whose type two diabetes has not been well controlled with diet and exercise. When teaching the patient about glyburide the nurse explains that
Glyburide stimulates insulin production and release for the pancreas.
Which of the following considerations best determines how you will begin teaching your patient about diabetic care?
What he already knows
Prior to discharging your diabetic patient you explain the most significant factor in the development of diabetic complications is
Dependent on whether the blood sugar is well controlled
Your hospitalized adult patient has hyperglycemia and is able to eat a diet of choice. Your teaching includes suggestions of foods that slow the rise in blood glucose levels after meals. What types of food would you include in your instruction?
Food low on the glycemic index.
The diabetic patient ask you if she can continue eating a lot of pasta such as macaroni and spaghetti. Which is the best response?
You may include some pasta and your diet.
Most people begin to develop symptoms of hypoglycemia when blood glucose is
Your diabetic patient is honest and when asked answers he likes a glass of wine with dinner. You explained to him the alcohol use
May be okay in moderation, but never taken on an empty stomach and treat it as a carbohydrate.
During instructions to a patient with diabetes mellitus you explain the importance of preventing complications of the disease. Your discussion includes monitoring blood glucose over a period of three months. The patient demonstrates understanding with this reply:________ will prevent progression of the disease.
Maintaining low levels of the blood test (Hbg A 1C)
The nurse expects combinations of oral antidiabetic medications to be prescribed for patients with
Type 2 diabetes
Which of the following is a serious risk factor for all diabetic patients?
The most appropriate treatment for hypoglycemia in an asymptomatic patient is
8 ounces of milk or 4 ounces of juice
A patient screened for diabetes at a clinic has fasting plasma glucose level of 120 mg/dL. The nurse will plan to teach the patient about
Maintenance of a healthy weight.
A diabetic patient is experiencing anxiety, dizziness and fatigue. As the nurse you expect their blood glucose to be
50 to 60 mg/dL
The nurse recognizes that the most common signs and symptoms of mild hypoglycemia are
Diaphoresis, nervousness, weakness
A high Hgb A-1 C level would indicate that the patient's blood glucose levels were
Poorly controlled over the past three months
Type one diabetes differs from type two diabetes in that type one diabetics
Always require insulin for control
After many years diabetes has a negative effect on many parts of the body. The body parts most affected are
Eyes, kidneys and nerves
Diabetes mellitus can be suspected in certain groups of individuals. Which of the following groups is not at high risk for developing diabetes?
Mothers who deliver babies with birth defects
A patient with type two diabetes is scheduled for an outpatient coronary arteriogram, where contrast dye will be used. Which information obtained by the nurse when admitting the patient indicates a need for a change in the patient's regimen?
The patient takes metformin (Glucophage) every morning.
A 72-year-old patient with benign prostatic hyperplasia and a history of frequent UTIs is admitted to the hospital with chills, fever,nausea and vomiting. To determine whether the patient has an upper UTI the nurse will assess for
Costovertebral angle (CVA) tenderness
A patient scheduled for transurethral resection of the prostate TURP for BPH tells the nurse that he has delayed having surgery because he is afraid it will affect his sexual function. When responding to his concern the nurse explains that
With this type of surgery erectile problems are rare, but retrograde ejaculation may occur.
The patient undergoing TURP Returns from surgery with a three-way urinary catheter with continuous bladder irrigation in place. The nurse observes that the urine output has decreased and the urine is clear red with multiple clots. The patient is complaining of painful bladder spasms. The most appropriate action by the nurse is to
Manually instill 50 mL of saline and try to remove the clots.
Following a radical retropubic prostatectomy for prostate cancer the patient is incontinent of urine. An appropriate nursing intervention for this patient is to teach the patient
Pelvic floor muscle training.
A patient with symptomatic BPH is scheduled for visual laser ablation of the prostate VLAP at an outpatient surgical center. The nurse will plan to teach the patient
How to care for an indwelling urinary catheter
A 22-year-old man tells the nurse at the health clinic that he has recently become unable to achieve an erection. When assessing for possible etiologic factors which question should the nurse asked first?
Are you using any recreational drugs or drinking a lot of alcohol?
A 53-year-old man tells the nurse he has not been able to function sexually for several years but is now interested in using Viagra. In responding to the patients interest the nurse
Questions the patient about any prescription drugs he is taking.
A 78-year-old patient is admitted to the hospital with dehydration and electrolyte inbalance. The patient is confused and incontinent of urine on admission. In developing a plan of care for the patient an appropriate nursing intervention for the patients incontinence is to
Assist the patient to the bathroom Q2 hours
After a bath a 62-year-old patient asks the nurse for a perineal pad saying that she uses them because sometimes she leaks urine when she laughs or coughs.which intervention is most appropriate to include in the POC for the patient?
Teach the patient how to do Kegle exercises
To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics the nurse suggests that the patient use the OTC urinary analgesic Pyridium but cautions the patient that this preparation
Causes the urine to turn reddish orange and can stain under clothing.
A patient with confined urinary stones in the proximal left ureter undergoes extracorporeal shockwave lithotripsy. Which information is most important for the nurse to collect after Lithotripsy?
The nurse instructs a patient seen in the outpatient clinic with symptoms of renal calculi to strain all urine and to
Strain and collect the stone and bring it to the clinic.
After the home health nurse teaches a patient with neurogenic bladder or how to use intermittent catheterization for bladder emptying which patient statement indicates that the teaching has been effective?
"I will wash the catheter with soap and water before and after each catheterization."
The patient with irritative and obstructive bladder symptoms has an enlarged prostate on digital rectal examination DRE and an elevated PSA level. The nurse will anticipate that the patient will need teaching about
Transrectal ultrasonography (TRUS)
When assessing a patient who complains of a feeling of incomplete bladder emptying and split spraying stream of urine the nurse asked about a history of
When assessing a patient who has a lower urinary tract infection the nurse will initially ask about
Pain with urination
A 34-year-old patient with diabetes mellitus is hospitalized with a fever, anorexia, and confusion. The healthcare provider suspects acute pyelonephritis when the urinalysis reveals bacteriuria. An appropriate collaborative problem identified by the nurse for this patient has a potential complication:
The nurse determines that instruction regarding prevention of future UTIs for a patient with cystitis has been effective when the patient states
I will empty my bladder every 3-4 hours during the day.
A 98-year-old patient with benign prostate hyperplasia has a markedly distended bladder and is agitated and confused. All of the following orders are received for an emergency department healthcare provider. Which order should the nurse act on first?
Insert a 16 French retention catheter.
The composition of the patient's renal calculus is identified as uric acid. To be event recurrence of stones, the nurse teaches the patient to avoid
Organ meats and fish with fine bones.
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