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    HESI RN Med surg adult health proctored exam

    A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

    Explanation & Rationale

    Choice A reason: Hematuria is expected after lithotripsy and should be monitored, but it is not the most critical instruction.Choice B reason: Using an incentive spirometer is important for respiratory care but not specific to lithotripsy.Choice C reason: Restricting physical activities is not necessary unless advised by the healthcare provider.Choice D reason:The correct answer is d) because monitoring the urinary stream for a decrease in output is crucial to detect any complications such as obstruction or infection after lithotripsy.

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