A client who has a confirmed urinary stone in the proximal left ureter undergoes extracorporeal shock- wave lithotripsy. What Information is most Important for the nurse to collect after lithotripsy?

Urine specific gravity and antigen levels

Urine characteristics and output

Appearance of the surgical site

Results of clean catch urine specimens

Answer and Explanation

The Correct Answer is B

B. After ESWL for a urinary stone, it is essential to monitor the client's urine characteristics (such as color, clarity, and presence of blood) and output. The presence of hematuria is a common and expected finding after ESWL due to the disruption of tissue and blood vessels during the procedure. Monitoring urine output helps assess renal function and ensures adequate hydration, which is crucial for flushing out stone fragments.
A. While monitoring urine specific gravity can provide information about the concentration of urine, and assessing antigen levels may be relevant in certain contexts, these parameters are not typically the most important information to collect immediately after extracorporeal shock-wave lithotripsy (ESWL) for a urinary stone.
C. While it is important to monitor the surgical site for signs of infection or complications after any procedure, ESWL is a non-invasive procedure performed externally, typically without any incisions.
D. While obtaining clean catch urine specimens for urinalysis and culture may be relevant for assessing urinary tract infection or other urinary abnormalities, it is not typically the most important information to collect immediately after ESWL.

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Correct Answer is A

Explanation

A . Bacterial infection is the most common cause of cystitis. The majority of cases of cystitis are caused by bacteria, most commonly Escherichia coli (E. coli). Bacteria can enter the urinary tract through the urethra and multiply in the bladder, leading to inflammation and symptoms of cystitis such as urinary urgency, frequency, and burning with urination.

B, C, D While other options such as fungal, parasitic, or viral infections can cause cystitis in certain cases, they are less common compared to bacterial infections.

A. 5 pounds in one week. B. 1 pound in one week. C. 10 pounds in one month. D. 3 pounds in one week.

Correct Answer is B

Explanation

B. Losing 1 pound in one week is generally considered a safe and sustainable rate of weight loss for many individuals. It is recommended by health professionals as a realistic and achievable goal for healthy weight loss.
A. Losing 5 pounds in one week would be considered too rapid and potentially unhealthy weight loss. Rapid weight loss can lead to various health issues, including nutritional deficiencies, muscle loss, and a higher likelihood of regaining the weight later on
C. Losing 10 pounds in one month would also be considered too rapid and potentially unhealthy weight loss, especially if sustained over a longer period.
D. Losing 3 pounds in one week may be achievable for some individuals, but it is generally considered more rapid than the recommended rate of 1 pound per week.

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A client who has a confirmed urinary stone in the proximal left ureter undergoes extracorporeal shock- wave lithotripsy. What Information is most Important for the nurse to collect after lithotripsy?

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Naxlex Comprehensive Predictor Exams

What is the most common cause of cystitis?

Correct Answer is A

Explanation

The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

Correct Answer is B

Explanation

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