A client with a history of calcium oxalate kidney stones asks the nurse, "What dietary modifications can I make to reduce the risk of stone recurrence?" What is the nurse's best response?

"Limit your intake of foods high in oxalate, such as spinach and nuts."

"Increase your dietary intake of red meat and fish."

"Consume more carbonated beverages to improve kidney function."

"Avoid dairy products to prevent calcium oxalate stone formation."

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Calcium oxalate stones are common, and limiting the intake of foods high in oxalate, such as spinach, nuts, and certain other vegetables and fruits, can help reduce the risk of stone recurrence.

B. Increasing the intake of red meat and fish is not recommended to prevent calcium oxalate stones. In fact, high intake of animal protein may increase the risk of certain types of stones, such as uric acid stones.

C. Consuming carbonated beverages is not recommended to improve kidney function or prevent kidney stones. Some carbonated beverages may contain phosphoric acid, which can contribute to stone formation.

D. Avoiding dairy products is not recommended to prevent calcium oxalate stone formation. In fact, adequate dietary calcium intake from food sources may help reduce the risk of these stones.

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Correct Answer is B

Explanation

A. This statement is not correct. Vitamin C supplements may increase the risk of calcium oxalate stones in some individuals.

B. This is the correct answer. High doses of vitamin C can be metabolized into oxalate in the body

, which can contribute to the formation of calcium oxalate stones. For individuals with a history of calcium oxalate stones, it is best to limit vitamin C supplements.

C. Taking vitamin C supplements in large doses is not recommended, especially for individuals prone to kidney stones.

D. Vitamin C supplements do have an effect on kidney stone formation, particularly for those at risk of calcium oxalate stones.

A. "Avoid foods high in oxalate, such as spinach and nuts." B. "Limit your intake of purine-rich foods like organ meats and shellfish." C. "Reduce your consumption of dairy products to lower calcium intake." D. "Limit your intake of high-phosphorus foods like red meat and dairy."

Correct Answer is D

Explanation

A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.

B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.

C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.

D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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A client with a history of calcium oxalate kidney stones asks the nurse, "What dietary modifications can I make to reduce the risk of stone recurrence?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?

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 client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

A client with a history of calcium oxalate kidney stones asks the nurse, "What dietary modifications can I make to reduce the risk of stone recurrence?" What is the nurse's best response?

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