A client with urinary calculi is admitted to the hospital. When ...

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A client with urinary calculi is admitted to the hospital. When planning care for this client, which goal is most appropriate?
 
  A) The client will lose 25 pounds in 3 months.
  B) The client will ambulate three times a day.
  C) The client will request pain medication at the onset of pain.
  D) The client will shower independently.

Question 2

The nurse is preparing to discharge a client who underwent lithotripsy in the treatment of a kidney stone. What should the nurse teach the client to prevent further complications of urinary calculi after discharge?
 
  A) You will need to increase your oral fluid intake to 1L/day.
  B) It will be important that you not drive while taking pain medications.
  C) It will be important to maintain a diet high in purines.
  D) You will need to monitor for the signs and symptoms of a urinary tract infection (UTI).

[diana chang]

Answer to Question 1

Answer: C

Intense pain is the hallmark of urinary calculi, or kidney stones, that are passing through the urinary system. The nurse teaches the client to request pain medication at the onset of pain in order to provide faster relief. The client with urinary calculi is able to ambulate and shower independently. Dietary changes will need to be made to prevent further formation of stones, but weight loss is not necessarily a goal with this disease process.

Answer to Question 2

Answer: D

The client with stones may develop a UTI when formed stones obstruct urinary flow. These symptoms should be reported as early as possible to the primary care provider. By discharge, the stones should have passed and there would be no need for pain medication. Fluid intake per day should be 2.5-3.0 L. Foods high in purines, such as organ meats, are to be avoided.

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TYSM

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Excellent