A patient who has recently undergone ESWL for the treatment of renal calculi has phoned the urology unit where he was treated, telling the nurse that he has a temperature of 101.1ºF (38.4ºC). How should the nurse best respond to the patient?
A) Remind the patient that renal calculi have a noninfectious etiology and that a fever is unrelated to their recurrence.
B) Remind the patient that occasional febrile episodes are expected following ESWL.
C) Tell the patient to report to the ED for further assessment.
D) Tell the patient to monitor his temperature for the next 24 hours and then contact his urologist's office.
Ans: C
Feedback:
Following ESWL, the development of a fever is abnormal and is suggestive of a UTI; prompt medical assessment and treatment are warranted. It would be inappropriate to delay further treatment.
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