A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

"Limit your fluid intake to reduce the risk of stone formation."

"Include a high-protein diet to prevent the formation of kidney stones."

"Avoid all dairy products to reduce the risk of stone recurrence."

"Maintain adequate fluid intake to prevent stone formation."

Answer and Explanation

The Correct Answer is D

A. This statement is not correct. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.

C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.

D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.

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Correct Answer is C

Explanation

A. While increasing fluid intake can help with the passage of small stones, it is not likely to dissolve larger stones. The primary benefit of increased fluid intake is to help prevent the formation of new stones.

B. Drinking more fluids may help alleviate some discomfort, but the primary goal is not pain reduction.

C. This is the correct answer. Adequate fluid intake can help prevent the formation of new kidney stones by diluting the urine and reducing the concentration of minerals that can contribute to stone formation.

D. While adequate fluid intake can help reduce the risk of urinary tract infections, it is not the primary reason for recommending increased fluid intake in clients with kidney stones.

A. "The primary risk factor for kidney stones is excessive water intake." B. "Risk factors for kidney stones include a sedentary lifestyle and low dietary calcium intake." C. "Family history, high protein diet, and dehydration are common risk factors for kidney stones." D. "Kidney stones are mostly caused by consuming too many fruits and vegetables."

Correct Answer is C

Explanation

A. Excessive water intake is not a risk factor for kidney stones. In fact, adequate hydration is encouraged to prevent kidney stone formation.

B. Low dietary calcium intake is not a common risk factor for kidney stones. In some cases, excessive calcium supplementation may be a risk factor, but dietary calcium is generally not a concern.

C. This is the correct answer. Family history, a diet high in protein and salt, and dehydration are common risk factors for kidney stones.

D. Kidney stones are not mostly caused by consuming too many fruits and vegetables. Fruits and vegetables are generally considered beneficial for kidney health.

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A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

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Naxlex Comprehensive Predictor Exams

A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?

Correct Answer is C

Explanation

A client with a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?

Correct Answer is C

Explanation

A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A client with a history of kidney stones is prescribed allopurinol. The nurse should recognize that this medication is primarily used to:

A client has been diagnosed with uric acid stones. The nurse should recommend dietary modifications that include:

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?