A nurse teaches a client about self-care after experiencing a urinary calculus treated by lithotripsy. Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)
a. "Finish the prescribed antibiotic even if you are feeling better."
b. "Drink at least 3 liters of fluid each day."
c. "The bruising on your back may take several weeks to resolve."
d. "Report any blood present in your urine."
e. "It is normal to experience pain and difficulty urinating."
ANS: A, B, C
The client should be taught to finish the prescribed antibiotic to ensure that he or she does not get a urinary tract infection. The client should drink at least 3 liters of fluid daily to dilute potential stone-forming crystals, prevent dehydration, and promote urine flow. After lithotripsy, the client should expect bruising that may take several weeks to resolve. The client should also experience blood in the urine for several days. The client should report any pain, fever, chills, or difficulty with urination to the provider as these may signal the beginning of an infection or the formation of another stone.
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