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.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is not the correct answer. Renal calculi are not bacterial infections but rather solid masses that form from mineral and acid salts in the kidneys.
B. This is the correct answer. Renal calculi, commonly known as kidney stones, are solid masses formed from mineral and acid salts that accumulate in the kidneys.
C. Renal calculi are not benign tumors. They are distinct from tumors and do not have the same characteristics.
D. Renal calculi are not blood clots. Blood clots can block the urinary tract, but they are not the same as kidney stones.
Correct Answer is A
Explanation
A. This is the correct answer. After a ureteroscopy, the client may experience postoperative urinary retention due to swelling or irritation in the urethra or bladder. The nurse should monitor for signs of urinary retention and take appropriate measures to address it.
B. Hyperkalemia is not directly related to ureteroscopy. It may occur in certain medical conditions but is not a common complication of this procedure.
C. Hypertension is not directly related to ureteroscopy. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of the procedure itself.
D. Hypoglycemia is not related to ureteroscopy. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.
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