Question

Priority Decision: Following electrohydraulic lithotripsy for treatment of renal calculi, the patient has a nursing diagnosis of risk for infection related to the introduction of bacteria following manipulation of the urinary tract.

What is the most appropriate nursing intervention for this patient?

a. Monitor for hematuria.
b. Encourage fluid intake of 3 L/day.
c. Apply moist heat to the flank area.
d. Strain all urine through gauze or a special strainer.

Answer 1

The most appropriate nursing intervention for a patient with a risk for infection after electrohydraulic lithotripsy is to strain all urine through gauze or a special strainer.

Step-by-step explanation:

The most appropriate nursing intervention for a patient who has undergone electrohydraulic lithotripsy for treatment of renal calculi and has a nursing diagnosis of risk for infection is d. Strain all urine through gauze or a special strainer.

Straining the urine allows for the detection of any stone fragments or bacteria that may have been introduced during the procedure. This helps in the early identification and management of any urinary tract infections.

Other interventions such as monitoring for hematuria, encouraging fluid intake, and applying moist heat can be beneficial for general post-procedure care, but straining the urine is the specific intervention to address the risk for infection.