CMSRN Medical-Surgical Nursing

Category - Genitourinary

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An intravenous pyelogram reveals that Paulo, age 35, has a renal calculus. He is believed to have a small stone that will pass spontaneously. To increase the chance of the stone passing, the nurse would instruct the client to force fluids and to

Strain all urine
Ambulate
Remain on bed rest
Ask for medications to relax him

Explanation

Answer - B - Ambulate. Free unattached stones in the urinary tract can be passed out with the urine by ambulation, which can mobilize the stone, and by increased fluid intake, which will flush out the stone during urination.

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