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. Severe back pain can be a symptom of kidney stones, but it is not the most common one.

B. This is the correct answer. Hematuria, or blood in the urine, is the most common symptom of kidney stones. The blood may be visible or microscopic.

C. Frequent urination can be a symptom of kidney stones, but it is not the most common one.

D. Sudden weight loss is not a symptom commonly associated with kidney stones.

A. Reducing calcium intake from dairy products B. Increasing consumption of red meat and shellfish C. Limiting purine-rich foods such as organ meats and certain sea food D. Increasing intake of oxalate-rich foods like spinach and nuts

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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:

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

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

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?

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 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 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?