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?
"The primary risk factor for kidney stones is excessive water intake."
"Risk factors for kidney stones include a sedentary lifestyle and low dietary calcium intake."
"Family history, high protein diet, and dehydration are common risk factors for kidney stones."
"Kidney stones are mostly caused by consuming too many fruits and vegetables."
The Correct Answer is C
A. Excessive water intake is not a risk factor for kidney stones. In fact, adequate hydration is encouraged to prevent kidney stone formation.
B. Low dietary calcium intake is not a common risk factor for kidney stones. In some cases, excessive calcium supplementation may be a risk factor, but dietary calcium is generally not a concern.
C. This is the correct answer. Family history, a diet high in protein and salt, and dehydration are common risk factors for kidney stones.
D. Kidney stones are not mostly caused by consuming too many fruits and vegetables. Fruits and vegetables are generally considered beneficial for kidney health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.
B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.
C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.
D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.
Correct Answer is D
Explanation
A. Excessive consumption of fruits and vegetables is not a primary cause of kidney stones. Some specific types of fruits and vegetables may contribute to stone formation, but it is not a general cause.
B. While genetic factors and family history can play a role in kidney stone formation, they are not the primary cause. The presence of minerals and salts in the urine is the main contributing factor.
C. An overactive bladder and frequent urination are not direct causes of kidney stone formation. They may be related to other urinary conditions but not to the formation of kidney stones.
D. This is the correct answer. Kidney stones are formed when certain minerals and salts in the urine form solid crystals that can clump together and grow into stones.
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