A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:

Reducing inflammation in the urinary tract

Dissolving the stone in the kidney

Relaxing the smooth muscle of the ureters

Preventing bacterial growth in the urinary tract

Answer and Explanation

The Correct Answer is C

A. Alpha-blockers do not directly reduce inflammation in the urinary tract. They primarily work by relaxing the smooth muscle of the ureters, which can help ease the passage of kidney stones through the urinary tract.

B. Alpha-blockers do not dissolve kidney stones. They assist with stone passage by relaxing the ureters.

C. This is the correct answer. Alpha-blockers are prescribed to relax the smooth muscle of the ureters, allowing the stone to pass more easily through the urinary tract.

D. Alpha-blockers do not have a direct effect on preventing bacterial growth in the urinary tract. They are not antibiotics.

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Correct Answer is D

Explanation

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

B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.

C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.

D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.

A. Citrus fruits B. Dairy products C. Red meat D. Leafy green vegetables

Correct Answer is D

Explanation

A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.

B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.

C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.

D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.

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A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

A nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?

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

A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

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?