The nurse is caring for a child immobilized because of Russel traction. What interventions should the nurse implement to prevent renal calculi? (Select all that apply.)
a. Monitor output.
b. Encourage the patient to drink apple juice.
c. Encourage milk intake.
d. Ensure adequate fluids.
e. Encourage the patient to drink cranberry juice.
ANS: A, D, E
To prevent renal calculi in a child who is immobilized, a nurse should monitor output; ensure adequate fluids; and encourage cranberry juice, which acidifies urine. Apple juice and milk alkalize the urine, so they should not be encouraged.
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