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 D

Explanation

A. Limiting fluid intake is not recommended to prevent kidney stones. Adequate hydration is essential to prevent stone formation. Dehydration can lead to a higher concentration of minerals in the urine, increasing the risk of stones.

B. Including more foods high in oxalate is not recommended to prevent kidney stones, especially if the client has a history of calcium oxalate stones. Limiting the intake of oxalate-rich foods is a preventive measure.

C. Avoiding all dairy products is not recommended to prevent kidney stones. In fact, adequate dietary calcium intake from food sources may help reduce the risk of certain types of stones, such as calcium oxalate stones.

D. This is the correct answer. Staying hydrated and drinking plenty of water throughout the day is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.

Questions

A. Postoperative urinary retention B. Hyperkalemia C. Hypertension D. Hypoglycemia

Correct Answer is A

Explanation

A. This is the correct answer. After a ureteroscopy, the client may experience postoperative urinary retention due to swelling or irritation in the urethra or bladder. The nurse should monitor for signs of urinary retention and take appropriate measures to address it.

B. Hyperkalemia is not directly related to ureteroscopy. It may occur in certain medical conditions but is not a common complication of this procedure.

C. Hypertension is not directly related to ureteroscopy. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of the procedure itself.

D. Hypoglycemia is not related to ureteroscopy. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.

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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 kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?

Correct Answer is D

Explanation

A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?

Correct Answer is A

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?

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?

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 providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

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?