A nurse is caring for a client with renal calculi. What measure should the nurse employ for this client?
A) Encourage the client to drink at least 1 liter of fluids daily.
B) Strain all urine through a piece of gauze, cheesecloth, or strainer.
C) Ask the client to try to avoid ambulating, if possible.
D) Encourage the client to consume plenty of dairy products.
B
Feedback:
The nurse should strain all urine through gauze, cheesecloth, or a strainer and save any material strained out of it for examination. The client should be encouraged to drink at least 3 liters of fluids every day because increased fluid intake helps the stones to move through the urinary tract. The client should be ambulatory, if possible, because ambulating aids in moving the stones through the urinary tract. The nurse should instruct the client to restrict intake of dairy products because foods with high calcium content contribute to stone formation.
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