What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?
Check for edema of the legs and ankles.
Watch for stone debris in the urine in 1 to 4 weeks.
Remain on restricted activity for a week.
Decrease fluid intake to 1000 mL/day.
The Correct Answer is B
A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.
B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.
C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.
D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Childhood disease of mumps: Mumps does not typically result in glomerulonephritis.
B. Frequent cystitis: Cystitis affects the bladder and does not lead to glomerulonephritis.
C. Recent wound infection: While infections can cause systemic inflammation, glomerulonephritis is commonly linked to streptococcal infections.
D. Streptococcal infection: Acute post-streptococcal glomerulonephritis is an immune response following a group A streptococcal infection.
Correct Answer is A
Explanation
A. "I will limit my fluid intake.": Anticholinergic agents can lead to urinary retention and dehydration, so limiting fluid intake can exacerbate side effects. Patients should be encouraged to maintain adequate hydration.
B. "I will chew gum to relieve my dry mouth.": Dry mouth is a common side effect of anticholinergics, and chewing gum can help alleviate it.
C. "I will eat fresh fruits.": Fresh fruits can help prevent constipation, another common side effect of anticholinergic medications.
D. "I will not drive if I develop blurred vision.": Blurred vision is a side effect of anticholinergics, and patients should avoid driving or operating machinery if it occurs.
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