A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?
"I should drink plenty of water to help flush out any stone fragments."
"I will avoid strenuous activities for a few days after the procedure."
"It's normal to have some blood in my urine for a short time after the surgery."
"I can resume my regular diet immediately after the procedure."
The Correct Answer is D
A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.
B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.
C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.
D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.
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Related Questions
Correct Answer is B
Explanation
A. This statement is not correct. Limiting intake of calcium is not necessary for the prevention of uric acid stones. In fact, low calcium intake can increase the risk of other types of stones.
B. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so avoiding these foods is important in managing uric acid stones.
C. Increasing consumption of oxalate-rich foods like spinach is not relevant to preventing uric acid stones.
D. Reducing fluid intake is not recommended for preventing any type of kidney stone. Adequate fluid intake is essential for kidney health and preventing stone formation.
Correct Answer is C
Explanation
A. Reducing calcium intake is not typically recommended for uric acid stones. In fact, low calcium intake can increase the risk of other types of kidney stones.
B. Increasing consumption of red meat and shellfish is not recommended for uric acid stones. These foods are high in purines, which can increase uric acid levels in the body.
C. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so limiting these foods is important in managing uric acid stones.
D. Increasing intake of oxalate-rich foods is not specifically relevant to uric acid stones. Oxalate-rich foods are associated with calcium oxalate stones, not uric acid stones.
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