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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Mix with 3 mL of normal saline and inject subcutaneously: Fosfomycin is not administered subcutaneously; it is an oral medication.

B. Mix contents with 90-120 mL of water and administer by mouth: Fosfomycin is supplied as a powder that must be mixed with water before oral administration.

C. Pour contents into a soufflé cup and administer by mouth: The medication must be dissolved in water to ensure proper absorption.

D. Pour contents into 60 mL of juice, stir, and administer by mouth: Mixing with juice is not recommended as it may alter the medication's effectiveness.

A. Specific gravity B. Creatinine C. Phosphates D. BUN

Correct Answer is B

Explanation

A. Specific gravity: Specific gravity measures urine concentration but does not directly assess renal function.

B. Creatinine: Serum creatinine levels provide the most accurate measure of renal function as they reflect the kidney’s ability to filter waste.

C. Phosphates: Phosphate levels are affected by kidney function but are not the most direct measure.

D. BUN: Blood Urea Nitrogen (BUN) can be affected by other factors like hydration and protein intake, making it less reliable than creatinine.

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What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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