8.14 Learning Activities

Flashcards

Click the Turn button to flip each card and see the answer, then use the arrow to move to the next card. Continue through the set and revisit cards as needed until you can recall the answers on your own.

 

Drag and Drop

Read each description carefully. Drag each answer choice into the box that matches the correct description. When all boxes are filled, select Check to submit your answers. If any answers are incorrect, select Retry to try again.

 

Knowledge Check

Read each question carefully. Select the answer you think is correct. Then select Check to submit your answer. If your answer is incorrect, select Retry to try again. Use the arrow buttons to move between questions.

Check 1: Renal

Check 2: Renal

NCLEX Next Generation-Style Questions

Next Gen RN logo

Test your clinical judgment with these NCLEX Next Generation-style questions.

Simulated Case Study

 

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.

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

Case Study

Renal

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.

Questions:

  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?
Case study answers are located in the Answer Key at the end of the book.

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