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Chemolysis in Stone Dissolution

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Questions and Answers

What is the purpose of chemolysis in treating kidney and urinary stones?

To dissolve the stone using chemical solutions (correct)

To remove the stone through a surgical incision

To physically break down the stone with shock waves

To disintegrate the stone with laser technology

Why is increased fluid intake encouraged in patients with renal calculi?

To promote dehydration and stone formation

To increase hydrostatic pressure in the urinary tract (correct)

To prevent the passage of the stone through the urinary tract

To decrease hydrostatic pressure in the urinary tract

What is a nursing intervention for patients with renal calculi experiencing severe acute pain?

Providing opioid analgesic agents (correct)

Monitoring for changes in blood pressure

Encouraging bed rest

Administering antipyretic agents

Why are patients with renal calculi instructed to report decreased urine volume, bloody or cloudy urine, fever, and pain?

To help detect signs of infection or obstruction Signup and view all the answers

What should be done with any blood clots passed in the urine by a patient with renal calculi?

Crush them and inspect for calculi remnants Signup and view all the answers

Why is it important for patients to report sudden increases in pain intensity promptly?

Due to the possibility of a stone fragment obstructing a ureter Signup and view all the answers

What is the purpose of straining all urine after the procedure?

To remove any small stone fragments or stone dust Signup and view all the answers

Which method uses an electrical discharge to create a hydraulic shock wave to break up kidney stones?

Electrohydraulic lithotripsy Signup and view all the answers

What are the most common complications associated with the stone removal procedures discussed?

Hemorrhage, infection, and urinary extravasation Signup and view all the answers

When is a percutaneous nephrostomy tube typically left in place after stone extraction?

To ensure the ureter is not obstructed by edema or blood clots Signup and view all the answers

What can occur from multiple shocks during stone removal procedures?

Damage to other tissue Signup and view all the answers

How are kidney calculi that cannot be removed by other procedures extracted?

Using percutaneous nephrostomy Signup and view all the answers