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 D

Explanation

A. Pain relief is important in managing kidney stone pain, but potassium citrate is not primarily prescribed for this purpose.

B. Acid-base balance regulation may be one of the functions of potassium citrate, but it is not the primary purpose when prescribed to a client with renal calculus.

C. Urinary tract infection treatment is not the primary purpose of potassium citrate. While it may have some benefits in preventing certain types of urinary tract infections associated with stones, its primary purpose is not to treat infections.

D. This is the correct answer. Potassium citrate is prescribed to help dissolve certain types of kidney stones, particularly calcium oxalate stones and uric acid stones. It works by increasing the pH of the urine, making it more alkaline and less conducive to stone formation.

A. Reducing inflammation in the urinary tract B. Dissolving the stone in the kidney C. Relaxing the smooth muscle of the ureters D. Preventing bacterial growth in the urinary tract

Correct Answer is C

Explanation

A. Alpha-blockers do not directly reduce inflammation in the urinary tract. They primarily work by relaxing the smooth muscle of the ureters, which can help ease the passage of kidney stones through the urinary tract.

B. Alpha-blockers do not dissolve kidney stones. They assist with stone passage by relaxing the ureters.

C. This is the correct answer. Alpha-blockers are prescribed to relax the smooth muscle of the ureters, allowing the stone to pass more easily through the urinary tract.

D. Alpha-blockers do not have a direct effect on preventing bacterial growth in the urinary tract. They are not antibiotics.

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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 client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

Correct Answer is D

Explanation

A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:

Correct Answer is C

Explanation

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

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

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 discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?