30 Questions
Which type of stones are clearly the result of excess dietary calcium?
Calcium Stones
What is the recommended fluid intake for patients with calcium stones?
Liberal fluid intake is encouraged
Which medication may be used for patients with calcium stones?
Ammonium Chloride
What type of diet is recommended for patients with uric acid stones?
Low-purine diet
Which procedure involves visualizing and destroying the stone using a ureteroscope?
Ureteroscopy
What is the purpose of endoscopic or other interventional procedures for kidney stones?
To fragment and remove the stones
Which of the following is a potential complication of kidney stones?
Hemorrhage
What is the purpose of a percutaneous nephrostomy tube?
To ensure the ureter is not obstructed
Which surgical procedure may be performed if the kidney is nonfunctional secondary to infection or hydronephrosis?
Nephrectomy
What is the main goal for a patient with kidney stones?
All of the above
What is a potential collaborative problem of kidney stones?
All of the above
What is the most common complication of kidney stones?
Hemorrhage
Which of the following is NOT a potential complication of renal calculi?
Hematuria
What is the recommended sodium intake for a patient with renal calculi?
3 to 4 g/day
Which of the following is NOT recommended to prevent renal calculi?
Limiting calcium intake
What is the recommended fluid intake for a patient prone to forming renal calculi?
3000 to 4000 mL/day
How often should urine cultures be performed for a patient with recurrent urinary tract infections?
Every 1 to 2 months
What is encouraged to prevent excessive sweating and dehydration in patients prone to renal calculi?
Avoiding activities leading to sudden increases in environmental temperatures
Which of the following is a possible complication of ESWL?
Urinary retention
What is the recommended duration for increased fluid intake after ESWL?
Several months
What should the patient do if they experience unrelieved pain after ESWL?
Notify the primary provider
What is a common expected side effect of ESWL?
Hematuria
What should the patient do if they have a stent in the ureter?
Notify the primary provider
What is the nurse's role in follow-up care for a patient with renal calculi?
All of the above
Which of the following is the immediate objective of treatment for renal or ureteral colic?
To relieve the pain
What is the role of nonsteroidal anti-inflammatory drugs (NSAIDs) in treating renal calculus pain?
They inhibit the synthesis of prostaglandin E
What is the recommended fluid intake for patients with renal calculi?
2 L/day
What is the mainstay of most medical therapy for renal calculi?
Fluid intake
What is the role of a high fluid intake in the treatment of renal calculi?
To dilute the urine and ensure a high urine output
What were patients with calcium-based renal calculi historically advised to do?
Restrict calcium in their diet
Test your knowledge on the procedure of lithotripsy and percutaneous nephrostomy with this quiz. Learn about the use of a probe, cystoscope, and lithotripter in stone extraction, and the importance of post-procedure measures.
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