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 C
Explanation
A. Stand 1.8 m (6 feet) away from the client is incorrect. For airborne precautions, a nurse should maintain a much greater distance (typically at least 2 meters, or about 6 feet), but the key action is wearing the appropriate protective equipment, such as an N95 respirator.
B. Allow the client to ambulate in the hall is incorrect. Clients on airborne precautions should generally be restricted to their rooms to prevent the spread of infectious particles. If ambulation is necessary, it should be done with appropriate precautions (such as a mask for the client and the staff wearing an N95 respirator).
C. Wear an N95 respirator mask is correct. For airborne precautions, healthcare providers must wear an N95 respirator mask to protect themselves from inhaling airborne pathogens, such as those associated with diseases like tuberculosis or measles.
D. Provide a positive-pressure airflow room is incorrect. Airborne precautions require a negative-pressure room to contain airborne pathogens and prevent their spread to other areas of the facility. A positive-pressure room is typically used for clients who are immunocompromised, to prevent pathogens from entering the room.
Correct Answer is ["26.0"]
Explanation
Step 1: Identify the known values
- Ordered dose = 1300 units/hr
- Available concentration = 25,000 units in 500 mL
Step 2: Calculate concentration of heparin per mL
25,000 units ÷ 500 mL = 50 units/mL
Step 3: Calculate the mL/hr to deliver 1300 units/hr
1300 units ÷ 50 units/mL = 26 mL/hr
Answer: 26 mL/hr
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