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?
"Limit your intake of fluids to reduce the risk of kidney stone formation."
"Include more foods high in oxalate, such as spinach and nuts, in your diet."
"Avoid all dairy products to prevent the formation of kidney stones."
"Stay hydrated and drink plenty of water throughout the day."
The Correct Answer is D
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Allopurinol does not directly increase urine output. It is not a diuretic and is not used for that purpose.
B. Allopurinol does not dissolve existing kidney stones. It is primarily used to prevent the formation of uric acid stones, not to treat existing stones.
C. This is the correct answer. Allopurinol is a medication used to reduce the production of uric acid in the body. By lowering uric acid levels, it can help prevent the formation of uric acid stones.
D. Allopurinol does not increase the excretion of calcium. It is used specifically to address uric acid levels and prevent uric acid stone formation.
Correct Answer is D
Explanation
A. Diarrhea and abdominal cramping are not typically associated with kidney stone pain. These symptoms are more commonly seen in gastrointestinal disorders.
B. Painful and frequent urination may occur if the stone causes irritation in the bladder or urethra, but it is not a direct symptom of kidney stone pain.
C. Fatigue and generalized weakness are not specific symptoms of kidney stone pain. They may be associated with other medical conditions but are not directly related to renal calculus.
D. This is the correct answer. Nausea and vomiting are common symptoms that may accompany kidney stone pain, especially if the stone causes obstruction in the urinary tract. The pain and irritation can trigger a reflex that leads to nausea and vomiting.
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