The nurse is preparing to discharge a client who underwent lithotripsy in the treatment of a kidney stone. What should the nurse teach the client to prevent further complications of urinary calculi after discharge?
A) "You will need to increase your oral fluid intake to 1L/day."
B) "It will be important that you not drive while taking pain medications."
C) "It will be important to maintain a diet high in purines."
D) "You will need to monitor for the signs and symptoms of a urinary tract infection (UTI)."
Answer: D
The client with stones may develop 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 2.5-3.0 L. Foods high in purines, such as organ meats, are to be avoided.
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