The nurse is preparing the client for treatment of renal calculi that have not responded well to medication therapy. The nurse explains that the preferred treatment now is which of the following?
1. Surgery on the kidney to remove the stones
2. Diet control
3. Lithotripsy
4. Increasing fluids
3. Lithotripsy
Rationale:
When medication fails to dissolve stones, the preferred method of treatment is lithotripsy, which is using sound waves to crush the stones so they can be passed out of the urinary system. Depending on the location of the stones, surgery may be the next step in the treatment process. Diet and fluids are used to prevent further stone formation.
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