A patient is diagnosed with struvite kidney stones. What ...

[audragclark]

A patient is diagnosed with struvite kidney stones. What interventions should the nurse anticipate being prescribed for this patient?
 
  1. surgical intervention and antibiotic therapy
  2. limiting foods high in calcium and taking thiazide diuretics
  3. sodium-restricted diet and taking penicillamine
  4. low-purine diet and taking potassium citrate

Question 2

A patient is experiencing postoperative urinary retention. Which medication should the nurse expect to be prescribed for this patient?
 
  1. bethanechol chloride (Urecholine)
  2. tolterodine (Detrol)
  3. propantheline bromide (Pro-Banthine)
  4. nitrofurantoin (Macrobid)

[tsternbergh47]

Answer to Question 1

Correct Answer: 1
Management of the patient with struvite kidney stones includes surgical intervention or lithotripsy to remove the stone and antibiotic therapy for urinary tract infections (UTIs). Limiting foods high in calcium and prescribing thiazide diuretics is common management for the patient with calcium phosphate and/or oxalate kidney stones; sodium restriction and penicillamine therapy are part of the treatment for cystine stones; a low-purine diet and potassium citrate are commonly prescribed for uric acid stones.

Answer to Question 2

Correct Answer: 1
Bethanechol chloride (Urecholine) increases detrusor muscle tone, producing a contraction strong enough to initiate micturition. It is primarily used to treat postoperative and postpartum urinary retention. Tolterodine (Detrol) and propantheline (Pro-Banthine) are used to treat spastic bladder; nitrofurantoin (Macrobid) is a urinary anti-infective medication.