A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

Increasing the excretion of uric acid

Reducing the excretion of calcium in the urine

Increasing the pH of the urine

Dissolving existing kidney stones

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.

B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.

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

D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.

A. "Limit your intake of foods high in calcium, such as dairy products." B. "Avoid purine-rich foods like organ meats and certain seafood." C. "Increase your consumption of spinach and other oxalate-rich foods." D. "Reduce your fluid intake to prevent stone formation."

Correct Answer is B

Explanation

A. This statement is not correct. Limiting intake of calcium is not necessary for the prevention of uric acid stones. In fact, low calcium intake can increase the risk of other types of stones.

B. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so avoiding these foods is important in managing uric acid stones.

C. Increasing consumption of oxalate-rich foods like spinach is not relevant to preventing uric acid stones.

D. Reducing fluid intake is not recommended for preventing any type of kidney stone. Adequate fluid intake is essential for kidney health and preventing stone formation.

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A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?

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 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?

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 performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?