A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?
"ESWL is an invasive surgical procedure that requires a hospital stay."
"You may experience some discomfort during the procedure, but it will be done under general anesthesia."
"After the procedure, you will need to avoid all fluids for 24 hours."
"ESWL uses shock waves to break up kidney stones, and you will need to stay still during the procedure."
The Correct Answer is D
A. ESWL is a non-invasive procedure, and it does not require a hospital stay. It is typically performed on an outpatient basis.
B. This is not entirely accurate. ESWL is a non-invasive procedure that does not require general anesthesia. Instead, the client may be given sedation or local anesthesia.
C. It is essential to maintain adequate hydration after ESWL to help pass the broken-up stone fragments. Avoiding all fluids for 24 hours is not recommended and may lead to dehydration.
D. This is the correct answer. ESWL uses shock waves to break up kidney stones, and the client will need to remain still during the procedure to ensure precise targeting of the stones. The procedure is usually painless, but some discomfort may be experienced during the process.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement is not correct. Potassium citrate does not dissolve existing kidney stones. It is used to prevent the formation of certain types of stones, particularly calcium oxalate stones.
B. This is the correct answer. Potassium citrate is an alkalizing agent that helps reduce the acidity of urine. By making the urine less acidic, it can help prevent the formation of certain types of stones, such as uric acid stones.
C. Potassium citrate does not increase calcium levels in the body. It may help prevent the formation of calcium oxalate stones, but it does not affect overall calcium levels.
D. Potassium citrate does not decrease urine output. It primarily works to reduce urine acidity and prevent stone formation.
Correct Answer is B
Explanation
A. This statement is not correct. Vitamin C supplements may increase the risk of calcium oxalate stones in some individuals.
B. This is the correct answer. High doses of vitamin C can be metabolized into oxalate in the body
, which can contribute to the formation of calcium oxalate stones. For individuals with a history of calcium oxalate stones, it is best to limit vitamin C supplements.
C. Taking vitamin C supplements in large doses is not recommended, especially for individuals prone to kidney stones.
D. Vitamin C supplements do have an effect on kidney stone formation, particularly for those at risk of calcium oxalate stones.
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