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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. This statement is not correct. Increasing dairy product intake may provide calcium, which is important for overall health, but it is not a specific dietary modification to prevent struvite stones.

B. 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.

C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not struvite stones.

D. Limiting fluid intake is

not recommended for the prevention of struvite stones. Adequate fluid intake is essential in preventing stone formation.

A. Hypercalcemia B. Hypernatremia C. Hypokalemia D. Hypermagnesemia

Correct Answer is C

Explanation

A. Thiazide diuretics can lead to decreased calcium excretion in the urine, which may be beneficial for some clients with kidney stones. They are used to reduce the excretion of calcium and prevent the formation of calcium-based stones.

B. Hypernatremia is not directly related to thiazide diuretic use. Thiazide diuretics primarily affect sodium excretion in the urine, but they do not typically cause hypernatremia.

C. This is the correct answer. Thiazide diuretics can cause hypokalemia (low potassium levels) as they increase potassium excretion in the urine.

D. Thiazide diuretics do not cause hypermagnesemia. They do not have a significant effect on magnesium excretion in the urine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A client with a history of kidney stones is prescribed a thiazide diuretic. The nurse should monitor the client's laboratory values for which electrolyte imbalance?

Correct Answer is C

Explanation

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?

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

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

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 is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?

A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?

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

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?