What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?
Check for edema of the legs and ankles.
Watch for stone debris in the urine in 1 to 4 weeks.
Remain on restricted activity for a week.
Decrease fluid intake to 1000 mL/day.
The Correct Answer is B
A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.
B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.
C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.
D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.
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Related Questions
Correct Answer is C
Explanation
A. Including ureteral output with the bladder output: Ureteral catheter output should be measured separately to ensure accurate monitoring of each source.
B. Early ambulation: While ambulation is beneficial for overall recovery, the priority is ensuring the catheter is patent and urine is draining freely.
C. Assessing for patency: Ensuring the ureteral catheter is patent and draining prevents complications such as obstruction, hydronephrosis, or infection.
D. Irrigating the catheter regularly: Ureteral catheters are not routinely irrigated, as improper irrigation can damage the ureters or kidneys.
Correct Answer is A
Explanation
A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.
B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.
C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.
D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.
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