Final answer:
Postoperative instructions for a client with ureterolithiasis after ureteroscopic stone removal should include restricting physical activities, monitoring urinary output and reporting persistent hematuria. Preventive strategies should be addressed, such as staying hydrated, dietary modifications, and culturing a urine sample for possible infections.
Step-by-step explanation:
A client with ureterolithiasis who is preparing for discharge after a ureteroscopic stone removal should receive specific postoperative instructions from the nurse to ensure a safe and effective recovery. The nurse should include the following instructions:
- Restrict physical activities to facilitate healing and prevent any complications.
- Monitor urinary stream for decreased output, as it could indicate postoperative complications such as obstruction from residual stone fragments or swelling.
- Report hematuria if it does not become pink-tinged or if it persists, as this could be a sign of ongoing bleeding or other complications.
- It is also crucial to culture a urine sample to check for the presence of an infection which can occur secondary to the presence of a stone or due to the procedure.
The discharged client should be also advised on preventive strategies aimed at reducing the likelihood of future stones. These may include:
- Drinking enough water to produce 2 to 2.5 liters of urine per day.
- Maintaining a diet low in protein, nitrogen, and sodium intake.
- Restricting oxalate-rich foods, while maintaining an adequate intake of dietary calcium.