A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?
Extracorporeal shock wave lithotripsy (ESWL)
Percutaneous nephrolithotomy (PCNL)
Ureteroscopy with laser lithotripsy
Cystoscopy with stent placement
The Correct Answer is B
A. Extracorporeal shock wave lithotripsy (ESWL) is typically used for smaller stones that can be broken up into smaller fragments and passed more easily. It is not usually recommended for large stones.
B. This is the correct answer. Percutaneous nephrolithotomy (PCNL) is a procedure used to remove larger kidney stones. It involves making a small incision in the back and inserting a nephroscope to directly visualize and remove the stone.
C. Ureteroscopy with laser lithotripsy is used for stones in the ureter, not in the kidney itself.
D. Cystoscopy with stent placement is used for conditions involving the lower urinary tract, such as the urethra and bladder, and is not typically used to remove kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Severe back pain can be a symptom of kidney stones, but it is not the most common one.
B. This is the correct answer. Hematuria, or blood in the urine, is the most common symptom of kidney stones. The blood may be visible or microscopic.
C. Frequent urination can be a symptom of kidney stones, but it is not the most common one.
D. Sudden weight loss is not a symptom commonly associated with kidney stones.
Correct Answer is A
Explanation
A. This is the correct answer. High dietary calcium intake is a common risk factor for certain types of kidney stones, particularly calcium oxalate stones. However, dietary calcium intake from food sources is not typically associated with an increased risk of kidney stones. Calcium supplements, on the other hand, may contribute to stone formation.
B. A low protein diet is not a significant risk factor for kidney stones. High-protein diets may be associated with an increased risk, but low protein intake is not a concern.
C. Adequate water consumption is essential to prevent kidney stones. Dehydration is a risk factor for stone formation, but excessive water consumption alone is not a significant risk factor.
D. While a sedentary lifestyle may be associated with other health risks, it is not a primary risk factor for kidney stones.
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