A client with hyperparathyroidism is at risk for developing kidney stones. Which nursing interventions are appropriate for preventing kidney stone formation in this client?(Select All that Apply.)
Encouraging the use of calcium supplements
Encouraging the consumption of oxalate-rich foods
Encouraging a low-calcium diet
Administer oral phosphates as ordered
Increase fluids and fiber
Administer furosemide as ordered
Administer calcium chelators
Encouraging increased fluid intake
Correct Answer : D,E,H
A. Encouraging the use of calcium supplements is incorrect. Clients with hyperparathyroidism often have elevated calcium levels, so increasing calcium intake can worsen hypercalcemia and increase the risk of kidney stones.
B. Encouraging the consumption of oxalate-rich foods is incorrect. Oxalate-rich foods, such as spinach, beets, and nuts, can increase the risk of calcium oxalate stones, especially in individuals with hyperparathyroidism. Therefore, oxalate-rich foods should be avoided.
C. Encouraging a low-calcium diet is incorrect. Although high calcium intake can worsen hypercalcemia, a low-calcium diet is not typically recommended. Instead, the focus should be on maintaining balanced calcium levels, as calcium is still important for overall health.
D. Administer oral phosphates as ordered is correct. Phosphates can help lower calcium levels in the blood by binding to calcium and reducing its absorption, which can help prevent kidney stone formation.
E. Increase fluids and fiber is correct. Increased fluid intake helps dilute urine, reducing the risk of stone formation. Additionally, fiber can promote overall digestive health, which can be helpful for preventing kidney stones.
F. Administer furosemide as ordered is incorrect. Furosemide, a diuretic, increases urine output but does not prevent kidney stones. It may actually increase the risk by causing dehydration, which promotes stone formation.
G. Administer calcium chelators is incorrect. Calcium chelators are not typically used in the prevention of kidney stones caused by hyperparathyroidism, and their use could interfere with necessary calcium levels in the body.
H. Encouraging increased fluid intake is correct. Adequate fluid intake is essential in preventing kidney stones, as it helps dilute urine and reduces the concentration of calcium and other stone-forming substances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.6"]
Explanation
Step 1: Ordered dose = 400 mg
Step 2: Vial concentration after reconstitution = 250 mg/mL
Step 3: Set up the calculation: 400 mg ÷ 250 mg/mL
Step 4: Perform the division: 400 ÷ 250 = 1.6
Answer: 1.6 mL
Correct Answer is C
Explanation
A. Place baby's name band on the top of the crib with MR number for safe care is incorrect. While it's important to ensure proper identification of the infant, the name band should be placed on the infant's wrist or ankle, not on the crib. Placing it on the crib could increase the risk of mixing up babies.
B. Placing small stuffed animals in the crib for stimulation is incorrect. It is not safe to place small items like stuffed animals, blankets, or pillows in the crib due to the risk of suffocation or choking. For infant safety, the crib should be kept clear of such objects.
C. Keep all items required for the infant's care out of the crib is correct. The crib should be kept clear of unnecessary items to ensure the infant's safety. This minimizes the risk of suffocation, entrapment, and falls. Only necessary items, such as a firm mattress and tight-fitting sheet, should be in the crib.
D. Leaving the crib rails down to make it easier to access the infant is incorrect. The crib rails should always be kept up when the infant is in the crib to prevent the risk of falling out or injury. Lowering the crib rails increases the risk of the infant rolling or falling out of the crib.
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