The nurse is evaluating care given to the client with urinary calculi and, anticipating discharge, is providing instruction to the client
Which of the following would the nurse teach the client to prevent further complications of urinary calculi prior to discharge? 1. Refrain from driving while taking pain medications
2. Signs and symptoms of impending urinary tract infection (UTI)
3. Increase fluid intake to 1L/day
4. Maintain a diet high in purines
2. Signs and symptoms of impending urinary tract infection (UTI)
Rationale:
The client with stones may have 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 2.5–3.0L. Foods high in purines, such as organ meats, are to be avoided.
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