The nurse is caring for a patient who underwent percutaneous lithotripsy earlier in the day. What instruction should the nurse give the patient?
A) Limit oral fluid intake for 1 to 2 days.
B) Report the presence of fine, sand like particles through the nephrostomy tube.
C) Notify the physician about cloudy or foul-smelling urine.
D) Report any pink-tinged urine within 24 hours after the procedure.
Ans: C
Feedback:
The patient should report the presence of foul-smelling or cloudy urine since this is suggestive of a UTI. Unless contraindicated, the patient should be instructed to drink large quantities of fluid each day to flush the kidneys. Sand like debris is normal due to residual stone products. Hematuria is common after lithotripsy.
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