Assignment task: A nurse practitioner (NP) is evaluating a 40-year-old female named Hana Kim (pronouns she/her/hers). Hana has a history of recurrent cystine-based renal calculi due to cystinuria and was referred to the primary care office today by her obstetrician after experiencing left-sided flank pain that is sharp and radiates to the groin for the past few days. Hana is 32 weeks pregnant and denies fever, nausea, vomiting, or hematuria. She has not had any problems with the pregnancy, and her obstetrician said the baby looked healthy from an ultrasound performed this morning prior to sending her to the primary care office. Her oral temperature is 98.6 °F (37 °C), her blood pressure is 125/80, and her heart rate is 80. The urinalysis reveals trace hematuria but no protein, leukocytes, or nitrates. Labs performed prior to her visit demonstrate a normal complete blood count (CBC), basic metabolic panel (BMP), and uric acid level.?
Considering the client's medical history and current clinical condition, which orders are the best options for the NP to initiate? Select all that apply. Need Assignment Help?
- Order a CT scan without contrast to visualize the potential renal calculus
- Recommend increasing oral fluid intake
- Recommend PO acetaminophen for pain control
- Prescribe an antibiotic
- Order an ultrasound to visualize the potential renal calculus