Question

A patient with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). What should the nurse include in the patient's post-procedure care?

A) Strain the patient's urine following the procedure.
B) Administer a bolus of 500 mL normal saline following the procedure.
C) Monitor the patient for fluid overload following the procedure.
D) Insert a urinary catheter for 24 to 48 hours after the procedure."

Answer 1

Post-procedure care for a patient undergoing ESWL for kidney stones includes straining urine, monitoring for fluid overload, and administering fluids for hydration and urine output.

Step-by-step explanation:

After undergoing extracorporeal shock wave lithotripsy (ESWL) for kidney stones, the nurse should include several key aspects in the patient's post-procedure care. These include:

1. Straining the patient's urine to check for any stone fragments that may have been passed.
2. Monitoring the patient for fluid overload, as ESWL can cause damage to the kidneys and may lead to fluid accumulation.
3. Administering fluids as prescribed, but not necessarily a bolus of normal saline. Fluids are given to ensure adequate hydration and urine output, which helps flush out any stone particles.

Inserting a urinary catheter is not typically necessary after ESWL, unless there are specific indications or complications.