What is the appropriate nursing action for a client with urolithiasis?

Encouraging fluid intake is critical for a client with urolithiasis, as it helps to dilute the urine, promotes urinary flow, and may assist in flushing out kidney stones. Increased hydration can also reduce the risk of stone formation by preventing the concentration of substances that lead to stone development.

Straining the client’s urine is also an important nursing intervention, particularly for clients with urolithiasis. By straining urine, the nurse can collect any stones that pass, which can be sent for analysis to determine their composition. This information is valuable in guiding future preventive measures and tailoring the client's treatment plan to help avoid recurrence.

The administration of pain medication as needed is typically part of the management for urolithiasis, as clients often experience significant pain due to the stones. However, the priority lies in addressing the underlying issues caused by the urolithiasis, such as promoting the passage of stones and preventing future occurrences.

Regular bladder scans are not typically necessary unless there is a specific concern regarding bladder retention or other urinary complications. The focus should primarily be on fluid intake and monitoring for the passage of stones, which can be effectively achieved by straining urine.

In summary, while straining urine is an essential action for monitoring