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 B
Explanation
A. Polyphagia is incorrect. Polyphagia (excessive hunger) is typically associated with diabetes mellitus, not diabetes insipidus. In diabetes insipidus, the primary issue is excessive thirst and urination, rather than increased appetite.
B. Dehydration is correct. Diabetes insipidus causes the kidneys to excrete large volumes of dilute urine, leading to dehydration. Clients with this condition may experience excessive thirst (polydipsia) and urinate large amounts of water, leading to dehydration if fluid intake doesn't keep up with the loss.
C. Bradycardia is incorrect. Bradycardia (slow heart rate) is not a typical finding in diabetes insipidus. On the contrary, dehydration resulting from excessive urination could lead to tachycardia (increased heart rate) as a compensatory mechanism.
D. Hyperglycemia is incorrect. Hyperglycemia (high blood glucose) is characteristic of diabetes mellitus, not diabetes insipidus. In diabetes insipidus, blood glucose levels are typically normal since the condition does not involve insulin or glucose metabolism.
Correct Answer is ["65.0"]
Explanation
Step 1: Convert weight from pounds to kilograms
143 lbs÷2.2=65 kg
Step 2: Calculate the dose
1 mg/kg×65 kg=65 mg
Answer: 65mg
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.