Renal calculi

Question 1

what are risk factors for calculi?

Answer 1

warm climates, metabolic abnormalities, large intake of dietary proteins, family history of stone formation, sedentary occupation,

Question 2

manifestations of calculi

Answer 2

renal colic - not constant but sever sudden pain in the flank area, described as excruciating- results from the stretching and dilation, and spasm of the ureter in response to the obstructing stone. have hard time being still referred as “kidney stone dance”, mild shock with moist and cool skin

Question 3

Allopurinol(zyloprim) is used for what?

Answer 3

if there is a high uric acid

Question 4

what is used for colic pain?

Answer 4

Flomax( dilate for better blood flow) and antispasmodics

Question 5

what is used for colic pain?

Answer 5

Flomax( dilate for better blood flow) and antispasmodics( oxygutynin chloride/Ditropan)

Question 6

Extracorporeal( outside the body) lithotripsy

Answer 6

non invasive, high energy shock used to shatter, takes about an hour, 4-6 hrs before don’t eat anything, lay flat and hear pounding during the procedure.
After the procedure hematuria, bruise(OTC meds takes care of it), nursing care strain urine, watch for fever, should be able to void before they leave,

Question 7

Extracorporeal( outside the body) lithotripsy

Answer 7

non invasive, high energy shock used to shatter, takes about an hour, 4-6 hrs before don’t eat anything, lay flat and hear pounding during the procedure.
After the procedure hematuria, bruise(OTC meds takes care of it), nursing care strain urine, watch for fever, should be able to void before they leave

Question 8

Extracorporeal( outside the body) lithotripsy

Answer 8

non invasive, high energy shock used to shatter, takes about an hour, 4-6 hrs before don’t eat anything, lay flat and hear pounding during the procedure.
After the procedure hematuria, bruise(OTC meds takes care of it), nursing care strain urine, watch for fever, should be able to void before they leave, go home with strainer and tell them to drink 2L water/day)

Question 9

Laser lithotripsy

Answer 9

ureterosocpe with laser and constant water irrigation of the ureter

Question 10

Extracorporeal( outside the body) lithotripsy

Answer 10

non invasive, high energy shock used to shatter and excreted in urine, takes about an hour, 4-6 hrs before don’t eat anything, lay flat and hear pounding during the procedure.
After the procedure hematuria, bruise(OTC meds takes care of it), nursing care strain urine, watch for fever, should be able to void before they leave, go home with strainer and tell them to drink 2L water/day)

Question 11

Laser lithotripsy

Answer 11

ureteroscope with laser and constant water irrigation of the ureter

Question 12

cellulose phosphate

Answer 12

helps to decrease the amount of calcium

Question 13

what is the priority care in patient with calculi?

Answer 13

Pain

Question 14

The patient is wondering why anesthesia is needed when the lithotripsy being done is noninvasive. The nurse explains that the anesthesia is required to ensure the patient’s position is maintained during the procedure. The nurse knows that this type of lithotripsy is called

Answer 14

extracorporeal shock-wave lithotripsy (ESWL), other lithotripsy procedures are invasive.

Question 15

The nurse is receiving a client from the postanesthesia care unit who has had percutaneous nephrolithotomy for calculi in the renal pelvis. The nurse anticipates that the client’s care will most likely involve monitoring which device?

Answer 15

A nephrostomy tube is put in place after percutaneous nephrolithotomy for calculi in the renal pelvis. The client also may have a Foley catheter to drain urine produced by the other kidney. The nurse monitors the drainage from each of these tubes and strains the urine to detect elimination of the calculus fragments.

Question 16

A client passes a urinary stone, and laboratory analysis of the stone indicates that it is composed of calcium oxalate. On the basis of this analysis, which option should the nurse specifically include in the dietary instructions?

Answer 16

Oxalate is found in dark green foods such as spinach. Other foods that raise urinary oxalate are rhubarb, strawberries, chocolate, wheat bran, nuts, beets, and tea.

Question 17

A client passes a urinary stone, and laboratory analysis of the stone indicates that it is composed of calcium oxalate. On the basis of this analysis, which option should the nurse specifically include in the dietary instructions?

Answer 17

Oxalate is found in dark green foods such as spinach. Other foods that raise urinary oxalate are rhubarb, strawberries, chocolate, wheat bran, nuts, beets, and tea. instant coffee, cola drinks, beer, rhubarb, beans, asparagus, spinach, cabbage, chocolate, citrus fruits, apples, grapes, cranberries, and peanuts and peanut butter.