A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?

A. This is the correct answer. After percutaneous nephrolithotomy (PCNL), the client may experience urinary retention due to swelling and irritation around the bladder or urethra from the procedure. The nurse should monitor the client for signs of urinary retention, such as difficulty urinating or a distended bladder, and take appropriate measures to relieve the obstruction.

B. Hyperkalemia is not directly related to PCNL. It may occur in certain medical conditions but is not a common complication of this procedure.

C. Hypoglycemia is not related to PCNL. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.

D. Hypertension is not directly related to PCNL. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of PCNL itself.

Questions

A. This statement is not correct. Adequate fluid intake is essential to help prevent kidney stones. Restricting fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.

C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.

D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.