A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?
"I should drink plenty of water to help flush out any stone fragments."
"I will avoid strenuous activities for a few days after the procedure."
"It's normal to have some blood in my urine for a short time after the surgery."
"I can resume my regular diet immediately after the procedure."
The Correct Answer is D
A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.
B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.
C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.
D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.
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Related Questions
Correct Answer is C
Explanation
A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.
B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.
C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.
D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.
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.
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