Notify the physician about cloudy or foul-smelling urine.-rationale: the nurse should instruct the client to report the presence of foul-smelling or cloudy urine to the physician. unless contraindicated, the client should be instructed to drink large quantities of fluid each day to flush the kidneys. sandlike debris is normal because of residual stone products. hematuriais common after lithotripsy. client needs category: physiological integrity client needs subcategory: physiological adaptation cognitive level: analysis reference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1594.