A patient with cholelithiasis is recovering from extracorporeal shock wave lithotripsy. Which statements indicate that the patient remembers the procedure accurately?
Select all that apply.
1. "It didn't take long, just a few hours."
2. "They gave me some medication in my IV. I didn't feel much."
3. "Afterwards the nurses kept asking me if my abdomen hurt or if I was nauseated."
4. "I was glad I could move around a lot during the procedure."
5. "They used a big machine to guide the shock waves to the stones."
Correct Answer: 2, 3, 5
Mild sedation may be given during the procedure. Nursing care after the procedure includes monitoring for biliary colic, which can result from the gallbladder contracting to remove stone fragments. The patient with biliary colic is often nauseated. A machine is used to deliver shock waves to break up the gallstones. The procedure usually takes an hour. Positioning is important, and the patient most likely did not move around during the procedure.
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