Questions: 57. A client diagnosed with kidney stones is scheduled for lithotripsy. The nurse provides preprocedure education to the client about what to expect. Which statement should the nurse include in the teaching to prepare the client for the procedure? A. "Lithotripsy requires a long hospital stay for recovery." B. "You will need to fast for 24 hours before the procedure." C. "You will be awake and alert during the entire procedure." D. "You may experience a brief discomfort during the procedure." E. "The procedure will involve a surgical incision to remove stones." 58. The nurse is caring for a client with a history of uric acid stones. The client asks about how to prevent future stone formation. What dietary recommendation should the nurse provide to this client? A. Avoid all carbohydrates. B. Limit intake of meat and shelfish. C. Increase dairy product consumption. D. Drink less water to minimize urination. E. Consume high-calcium food to bind oxalete.

57. A client diagnosed with kidney stones is scheduled for lithotripsy. The nurse provides preprocedure education to the client about what to expect. Which statement should the nurse include in the teaching to prepare the client for the procedure?

The answer is D: "You may experience a brief discomfort during the procedure."

Explanation: A. "Lithotripsy requires a long hospital stay for recovery." - Incorrect. Lithotripsy is typically an outpatient procedure, and patients usually do not require a long hospital stay. B. "You will need to fast for 24 hours before the procedure." - Incorrect. While some fasting may be required, 24 hours is generally not necessary. C. "You will be awake and alert during the entire procedure." - Incorrect. Patients are often given sedation or anesthesia, so they may not be fully awake and alert. D. "You may experience a brief discomfort during the procedure." - Correct. Patients may feel some discomfort due to the shock waves used to break up the stones. E. "The procedure will involve a surgical incision to remove stones." - Incorrect. Lithotripsy is a non-invasive procedure that uses shock waves to break up stones without surgical incisions.

58. The nurse is caring for a client with a history of uric acid stones. The client asks about how to prevent future stone formation. What dietary recommendation should the nurse provide to this client?

The answer is B: Limit intake of meat and shellfish.

Explanation: A. Avoid all carbohydrates. - Incorrect. Carbohydrates are not directly linked to uric acid stone formation. B. Limit intake of meat and shellfish. - Correct. These foods are high in purines, which can increase uric acid levels and contribute to stone formation. C. Increase dairy product consumption. - Incorrect. While dairy can be part of a balanced diet, it is not specifically recommended for preventing uric acid stones. D. Drink less water to minimize urination. - Incorrect. Increasing fluid intake is generally recommended to prevent stone formation. E. Consume high-calcium food to bind oxalate. - Incorrect. This advice is more relevant for calcium oxalate stones, not uric acid stones.