A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg subcutaneous. The client weighs 185 lb. How many mg should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A. Manage bladder irrigation following the procedure. - Bladder irrigation is not typically performed after ESWL. It may be used in other urological procedures, but it is not a standard post-procedural care for ESWL.

B. Administer a bolus of 750 mL normal saline following the procedure. - While maintaining hydration is important, there is no specific requirement for a bolus of normal saline after ESWL. Hydration is usually encouraged, but the amount and method of administration are determined based on the client's overall fluid status and medical condition.

C. Strain the client's urine following the procedure.
After extracorporeal shock wave lithotripsy (ESWL), it is essential to strain the client's urine to collect any stone fragments. Straining allows healthcare providers to analyze the composition of the stones, ensuring that all fragments have been passed. This information helps in assessing the effectiveness of the procedure and guides further management.

D. Insert a urinary catheter for 24 to 48 hours after the procedure. - Inserting a urinary catheter is not a routine post-procedural measure after ESWL. Catheterization might be necessary in certain situations or for specific medical reasons, but it is not a standard practice after ESWL for all clients.

A. "I will need to drink apple cider vinegar each day."

This statement is incorrect. Drinking apple cider vinegar is not a proven method to prevent urinary tract infections (UTIs). The client does not need to consume apple cider vinegar as a preventive measure for UTIs.
B. “I will need to wipe my perineal area from back to front after urination."

This statement is incorrect and indicates a need for further teaching. Proper hygiene is essential in preventing UTIs, and wiping from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back after urination to prevent the spread of bacteria.
C. “I need to drink 8 cups of liquid each day."

This statement is correct. Staying well-hydrated by drinking an adequate amount of fluids, such as 8 cups of liquid each day, can help flush out bacteria from the urinary tract and reduce the risk of UTIs. Proper hydration is a good preventive measure.
D. "I will need to empty my bladder regularly and completely.”

This statement is correct. Emptying the bladder regularly and completely helps prevent the accumulation of bacteria in the urinary tract. Incomplete emptying of the bladder can allow bacteria to multiply, increasing the risk of UTIs. Regular and thorough emptying of the bladder is an important preventive measure against UTIs.