Mastering Lithotripsy and Percutaneous Nephrostomy
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Questions and Answers

Which type of stones are clearly the result of excess dietary calcium?

  • Uric Acid Stones
  • Calcium Stones (correct)
  • Oxalate Stones
  • Cystine Stones

    • What is the recommended fluid intake for patients with calcium stones?

  • No fluid intake is necessary
  • Fluid intake should be limited
  • Liberal fluid intake is encouraged (correct)
  • Moderate fluid intake is recommended

    • Which medication may be used for patients with calcium stones?

  • Potassium Alkali Salts
  • Ammonium Chloride (correct)
  • Allopurinol
  • Thiazide Diuretics

    • What type of diet is recommended for patients with uric acid stones?

    <p>Low-purine diet</p> Signup and view all the answers

    Which procedure involves visualizing and destroying the stone using a ureteroscope?

    <p>Ureteroscopy</p> Signup and view all the answers

    What is the purpose of endoscopic or other interventional procedures for kidney stones?

    <p>To fragment and remove the stones</p> Signup and view all the answers

    Which of the following is a potential complication of kidney stones?

    <p>Hemorrhage</p> Signup and view all the answers

    What is the purpose of a percutaneous nephrostomy tube?

    <p>To ensure the ureter is not obstructed</p> Signup and view all the answers

    Which surgical procedure may be performed if the kidney is nonfunctional secondary to infection or hydronephrosis?

    <p>Nephrectomy</p> Signup and view all the answers

    What is the main goal for a patient with kidney stones?

    <p>All of the above</p> Signup and view all the answers

    What is a potential collaborative problem of kidney stones?

    <p>All of the above</p> Signup and view all the answers

    What is the most common complication of kidney stones?

    <p>Hemorrhage</p> Signup and view all the answers

    Which of the following is NOT a potential complication of renal calculi?

    <p>Hematuria</p> Signup and view all the answers

    What is the recommended sodium intake for a patient with renal calculi?

    <p>3 to 4 g/day</p> Signup and view all the answers

    Which of the following is NOT recommended to prevent renal calculi?

    <p>Limiting calcium intake</p> Signup and view all the answers

    What is the recommended fluid intake for a patient prone to forming renal calculi?

    <p>3000 to 4000 mL/day</p> Signup and view all the answers

    How often should urine cultures be performed for a patient with recurrent urinary tract infections?

    <p>Every 1 to 2 months</p> Signup and view all the answers

    What is encouraged to prevent excessive sweating and dehydration in patients prone to renal calculi?

    <p>Avoiding activities leading to sudden increases in environmental temperatures</p> Signup and view all the answers

    Which of the following is a possible complication of ESWL?

    <p>Urinary retention</p> Signup and view all the answers

    What is the recommended duration for increased fluid intake after ESWL?

    <p>Several months</p> Signup and view all the answers

    What should the patient do if they experience unrelieved pain after ESWL?

    <p>Notify the primary provider</p> Signup and view all the answers

    What is a common expected side effect of ESWL?

    <p>Hematuria</p> Signup and view all the answers

    What should the patient do if they have a stent in the ureter?

    <p>Notify the primary provider</p> Signup and view all the answers

    What is the nurse's role in follow-up care for a patient with renal calculi?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is the immediate objective of treatment for renal or ureteral colic?

    <p>To relieve the pain</p> Signup and view all the answers

    What is the role of nonsteroidal anti-inflammatory drugs (NSAIDs) in treating renal calculus pain?

    <p>They inhibit the synthesis of prostaglandin E</p> Signup and view all the answers

    What is the recommended fluid intake for patients with renal calculi?

    <p>2 L/day</p> Signup and view all the answers

    What is the mainstay of most medical therapy for renal calculi?

    <p>Fluid intake</p> Signup and view all the answers

    What is the role of a high fluid intake in the treatment of renal calculi?

    <p>To dilute the urine and ensure a high urine output</p> Signup and view all the answers

    What were patients with calcium-based renal calculi historically advised to do?

    <p>Restrict calcium in their diet</p> Signup and view all the answers

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