The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. Which statement by the client indicates the need for further teaching by the nurse? Select all that apply.

a) "I need to drink eight to ten glasses of water every day."
b) "I need to take allopurinol."
c) "I'm so glad I don't have to make any changes in my diet."
d) "I will never have another urinary stone again."
e) "Tylenol is best to control my pain."


Answer:
b) "I need to take allopurinol."
c) "I'm so glad I don't have to make any changes in my diet."
d) "I will never have another urinary stone again."
e) "Tylenol is best to control my pain."

Nonsteroidal anti-inflammatory drugs are used to treat renal stone pain. Oxalate-containing foods should be avoided. Fluid intake should total 2 to 3 liters, if not contraindicated. Allopurinol (Zyloprim) is prescribed for uric acid stones. Recurrence of stones occurs in about half of individuals.

Nursing

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