A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?
"You will need to be placed under general anesthesia during the procedure."
"The procedure involves the insertion of a scope into your urinary tract to remove the stone."
"High-energy shock waves will be used to break up the stone into smaller fragments."
"You will need to have a urinary catheter inserted after the procedure for several days."
The Correct Answer is C
A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.
B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.
C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.
D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.
B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.
C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.
D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.
Correct Answer is B
Explanation
A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.
B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.
C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.
D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.
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