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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Fever and chills are more commonly associated with a urinary tract infection, which can sometimes be a complication of kidney stones. However, the severe pain described is more likely related to the presence of the stone itself.

B. This is the correct answer. Blood in the urine, also known as hematuria, is a common symptom of kidney stones. As the stone moves through the urinary tract, it may cause irritation and small blood vessels may be damaged, resulting in blood in the urine.

C. Difficulty starting the urine stream is not a specific symptom of kidney stones. It may be seen in other urinary conditions but is not typically associated with stones.

D. The frequent urge to urinate may be experienced if the stone causes irritation in the bladder, but it is not the most common symptom associated with kidney stones.

A. "Limit your fluid intake to reduce the risk of stone formation." B. "Include a high-protein diet to prevent the formation of kidney stones." C. "Avoid all dairy products to reduce the risk of stone recurrence." D. "Maintain adequate fluid intake to prevent stone formation."

Correct Answer is D

Explanation

A. This statement is not correct. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.

C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.

D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

Correct Answer is B

Explanation

A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

Correct Answer is D

Explanation

A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?

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A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?