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 D
Explanation
A. Metronidazole (Flagyl): Metronidazole is used for anaerobic infections and protozoal infections but is not a first-line treatment for urinary tract infections (UTIs).
B. Meperidine (Demerol): This is an analgesic, not an antimicrobial agent; it addresses pain but not the infection.
C. Bethanechol chloride (Urecholine): This is used to manage urinary retention, not infection.
D. Ciprofloxacin (Cipro): Ciprofloxacin, a fluoroquinolone antibiotic, is commonly prescribed for UTIs, especially when blood results indicate infection (elevated WBC count).
Correct Answer is D
Explanation
A. Leaving the nephrostomy site open to air: The nephrostomy site should be covered with a sterile dressing to prevent infection.
B. Instilling no more than 50 mL of sterile water if sterile irrigations are ordered: Irrigation should be done with care, and no more than 5-10 mL of sterile solution is typically instilled to avoid kidney damage.
C. Clamping every 2 hours to allow expansion of the kidney pelvis: Clamping the nephrostomy tube is contraindicated as it can lead to increased pressure in the kidney, worsening the obstruction and potentially causing damage.
D. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains: Ensuring the tube remains patent and continuously drains is essential to avoid complications such as hydronephrosis or infection.
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