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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperkalemia: Hyperkalemia is the most life-threatening effect of renal failure because elevated potassium levels can cause dangerous cardiac arrhythmias or cardiac arrest.
B. Hypokalemia: Hypokalemia is not commonly associated with renal failure and is less immediately life-threatening than hyperkalemia.
C. Hypernatremia: While fluid imbalances can lead to hypernatremia, it is less critical than hyperkalemia in renal failure.
D. Hyponatremia: Although hyponatremia can occur in renal failure, its effects are typically less acutely life-threatening than hyperkalemia.
Correct Answer is ["B","D","E","F"]
Explanation
A. Topical estrogen: Estrogen therapy is used for recurrent UTIs in postmenopausal women due to atrophic changes but is not directly for UTI treatment.
B. Urinary tract antiseptics: These are used to prevent and treat UTIs by exerting a local antibacterial effect.
C. Diuretics: Diuretics promote urine production but do not treat infections.
D. Antispasmodic agents: These relieve bladder spasms associated with UTIs.
E. Antibiotics: Antibiotics are the primary treatment for UTIs.
F. Analgesics: Analgesics, such as phenazopyridine, are used to manage pain caused by UTIs.
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