8.14 Learning Activities

Learning Activities

Renal Case Study (Case Study answers are located in the Answer Key at the end of the book.)[1]

Jacob, a 32-year-old male, presents to the emergency department with severe pain on his right flank. The pain started suddenly and has been intensifying over the past four hours. On examination, he is found to be in moderate distress, pale, diaphoretic, and has a blood pressure of 140/90 mmHg. His heart rate is 120 bpm, respiratory rate is 26 breaths/min, and temperature is 37.2°C. Physical examination reveals right costovertebral angle tenderness and marked dehydration.

  1. What are the likely differential diagnoses based on Jacob’s symptoms?
  2. Describe the pathophysiology of kidney stones formation.
  3. What are the key clinical manifestations of kidney stones?
  4. What laboratory tests would you order for Jacob? Explain the rationale for each.
  5. What radiological investigations would be indicated in this case?
  6. Discuss the role of a nurse in the management of a client with kidney stones.
  7. Jacob has a history of recurrent kidney stones. What advice would you provide him regarding prevention of further stone formation?
  8. What pharmacological interventions are indicated for pain management in this case?
  9. Describe the process of lithotripsy. What are the nursing interventions associated with this procedure?
  10. Jacob is scheduled for discharge. What key education points would you provide to him and his family before discharge?

“Renal Glossary Cards” by Open RN is licensed under CC BY-NC 4.0

“Renal; Question Set 1” by Open RN is licensed under CC BY-NC 4.0

“Renal Stone Match-Up” by Open RN is licensed under CC BY-NC 4.0

“Renal Question Set 2” by Open RN is licensed under CC BY-NC 4.0

[2]

Next Gen RN logo

Test your knowledge on acute and chronic renal failure using this NCLEX Next Generation-style case study. You may reset and resubmit your answers to this question an unlimited number of times.[3]

Next Gen RN logo

Test your knowledge on urinary conditions using this NCLEX Next Generation-style drop down triad question. You may reset and resubmit your answers to this question an unlimited number of times.[4]

Next Gen RN logo

Test your knowledge on urinary conditions using this NCLEX Next Generation-style bowtie question. You may reset and resubmit your answers to this question an unlimited number of times.[5]

Next Gen RN logo

Test your knowledge on renal failure using this NCLEX Next Generation-style case study. You may reset and resubmit your answers to this question an unlimited number of times.[6]

Telehealth Scenarios

Telehealth is an innovative technology that can bridge the gap between health care professionals and clients, especially for clients who live in remote areas. Telehealth not only makes health care more accessible but can also provide continuity of care and prevent unnecessary hospitalizations. Nurses who provide telehealth services become digital communicators and educators, merging clinical expertise with empathy and effective online communication.

Practice using effective telehealth communication in the following scenarios with Carolyn Smith, an 85-year-old Caucasian female with mild dementia who was recently discharged from the hospital with chronic kidney disease, Stage IV[7]:

Carolyn Smith, Telehealth Visit 1: Post-hospitalization Follow-Up
Carolyn Smith, Telehealth Visit 2: Identifying Learning Needs
Carolyn Smith, Telehealth Visit 3: Evaluating Health Teaching

  1. “Renal Case Study” by Open RN is licensed under CC BY-NC 4.0 ↵
  2. “Case Study: Benign Prostatic Hyperplasia” by Open RN and Codaptive Labs is licensed under CC BY-NC 4.0 ↵
  3. “Renal Failure” by Carrie Abrahamson for OpenRN is licensed under CC BY-NC 4.0 ↵
  4. “Genitourinary Drop Down Triad" by Kellea Ewen and OpenRN is licensed under CC BY-NC 4.0 ↵
  5. “Pediatric Urinary Bowtie" by Jennifer Hinz and OpenRN is licensed under CC BY-NC 4.0 ↵
  6. “Renal Case Study” by Travis Christman for OpenRN is licensed under CC BY-NC 4.0 ↵
  7. “Telehealth Scenarios” by Open RN and Codaptive Labs is licensed under CC BY-NC 4.0 ↵

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