A nurse is caring for a client with a ureteral stent placed for nephrolithiasis. Which instruction should the nurse include in discharge teaching?

Choice A reason: Limiting fluid intake to 1 L per day is contraindicated in nephrolithiasis, as high fluid intake (2–3 L) dilutes urine, preventing stone formation. Restricted fluids increase urine concentration, promoting stone recurrence and stent complications, making this an incorrect instruction for a client with a ureteral stent. Choice B reason: Blood-tinged urine is expected after ureteral stent placement due to minor mucosal irritation. Immediate reporting is unnecessary unless accompanied by severe bleeding or other symptoms. The nurse should educate the client to monitor for excessive bleeding, not routine hematuria, which is common post-procedure. Choice C reason: Avoiding straining during bowel movements prevents increased intra-abdominal pressure, which could dislodge the ureteral stent or cause discomfort. Constipation can exacerbate stent-related pain or complications, making this a critical instruction to ensure stent stability and patient comfort during recovery from nephrolithiasis. Choice D reason: Taking antibiotics only if fever occurs is not appropriate, as prophylactic antibiotics may be prescribed to prevent infection with a ureteral stent. Waiting for fever risks delayed treatment of urinary tract infections, which can lead to sepsis, making this an incorrect discharge instruction.