The nurse is providing postprocedure care for a patient who underwent percutaneous lithotripsy
In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultrahigh-frequency sound waves to shatter renal calculi. The nurse should instruct the patient to:
A) Limit oral fluid intake for 1 to 2 weeks.
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 bright pink urine within 24 hours after the procedure.
Ans: C
Feedback: The patient should report the presence of foul-smelling or cloudy urine. 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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