The nurse is caring for a client who received extracorporeal shock wave lithotripsy with ureteral stent placement for treatment of a kidney stone. Which discharge instructions provided by the nurse are appropriate? Select all that apply.

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11ecbb05_ca8a_1450_b433_2334b9280553_MD0009_00 Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive procedure that uses high-energy acoustic shock waves to break up kidney stones into small fragments that can be excreted in the urine. The procedure is typically performed in an outpatient setting under general anesthesia. Temporary ureteral stents are often placed during the procedure to facilitate the passage of the stone fragments and prevent occlusion of the ureter. Stents are typically removed in 1-2 weeks. After an ESWL procedure, the client should be instructed to: Increase fluid intake to help flush out the kidney stone fragments (Option C). Expect some bruising and pain of the back and/or flank of the affected side. Analgesics may be required (Option E). Expect to see blood in the urine (hematuria). Urine color should progress from bright red to pink-tinged during the first several hours. Hematuria is concerning if the urine remains bright red for a prolonged period (eg, >24 hours) (Option D). Report any symptoms of infection (eg, fever, chills) to the health care provider (Option A). (Option B) Ambulation is encouraged after ESWL to facilitate passage of the stone fragments. Educational objective: Following extracorporeal shock wave lithotripsy, the client should increase fluid intake and ambulate frequently to facilitate passage of the stone fragments. Expected side effects include hematuria as well as bruising and pain of the back and/or flank. Urine color should progress from bright red to pink-tinged during the first several hours.

The Nurse Is Caring for a Client Who Received Extracorporeal