Identify the action by the nurse caring for a client who has just returned from extracorporeal shock wave lithotripsy that best promotes the client's physiological adaptation.
A)Increase fluid intake to 2 to 3 liters per day.
B)Evaluate his vital signs every 2 hours.
C)Use an antimicrobial ointment and sterile dressing on the incision site.
D)Report any blood in the urine to the physician immediately.

Question

Quizplus · Accepted Answer

Increasing fluid intake to 2 to 3 liters per day promotes the physiological adaptation of flushing out any remaining stones or fragments in the urinary tract, preventing the formation of new stones, and promoting healing after the procedure. This action helps prevent urinary tract infections and promotes urinary flow, which helps to prevent the build-up of stone-forming substances. The other options are also important for the client's care but do not directly promote physiological adaptation after the procedure.

Identify the Action by the Nurse Caring for a Client