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

Reducing calcium intake from dairy products

Increasing consumption of red meat and shellfish

Limiting purine-rich foods such as organ meats and certain sea food

Increasing intake of oxalate-rich foods like spinach and nuts

Answer and Explanation

The Correct Answer is C

A. Reducing calcium intake is not typically recommended for uric acid stones. In fact, low calcium intake can increase the risk of other types of kidney stones.

B. Increasing consumption of red meat and shellfish is not recommended for uric acid stones. These foods are high in purines, which can increase uric acid levels in the body.

C. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so limiting these foods is important in managing uric acid stones.

D. Increasing intake of oxalate-rich foods is not specifically relevant to uric acid stones. Oxalate-rich foods are associated with calcium oxalate stones, not uric acid stones.

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Correct Answer is D

Explanation

A. Limiting fluid intake to 1 liter per day is not recommended to prevent kidney stone formation. Adequate hydration is essential to

help prevent stone formation, as it helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.

B. Decreasing dietary fiber intake is not a preventive measure for kidney stones. In fact, increasing dietary fiber intake can be beneficial for overall health.

C. Reducing calcium intake from all sources is not recommended to prevent kidney stones. In some cases, reducing dietary calcium intake can actually increase the risk of certain types of kidney stones.

D. This is the correct answer. Increasing citric acid intake can help prevent certain types of kidney stones, such as calcium oxalate stones. Citric acid helps to bind calcium in the urine, reducing the risk of stone formation. Citric acid can be found in citrus fruits and juices, and the nurse may advise the client to include more of these foods in their diet.

A. Increasing the excretion of uric acid B. Reducing the excretion of calcium in the urine C. Increasing the pH of the urine D. Dissolving existing kidney stones

Correct Answer is B

Explanation

A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.

B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.

C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.

D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

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

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A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

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A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?

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