A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?
"The most common symptom of kidney stones is severe back pain."
"The most common symptom of kidney stones is hematuria (blood in urinE. ."
"The most common symptom of kidney stones is frequent urination."
"The most common symptom of kidney stones is sudden weight loss."
The Correct Answer is B
A. Severe back pain can be a symptom of kidney stones, but it is not the most common one.
B. This is the correct answer. Hematuria, or blood in the urine, is the most common symptom of kidney stones. The blood may be visible or microscopic.
C. Frequent urination can be a symptom of kidney stones, but it is not the most common one.
D. Sudden weight loss is not a symptom commonly associated with kidney stones.
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Related Questions
Correct Answer is D
Explanation
A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.
B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.
C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.
D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.
Correct Answer is D
Explanation
A. Limiting fluid intake to 1 liter per day is not recommended to prevent kidney stone formation. Adequate hydration is essential to
help prevent stone formation, as it helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.
B. Decreasing dietary fiber intake is not a preventive measure for kidney stones. In fact, increasing dietary fiber intake can be beneficial for overall health.
C. Reducing calcium intake from all sources is not recommended to prevent kidney stones. In some cases, reducing dietary calcium intake can actually increase the risk of certain types of kidney stones.
D. This is the correct answer. Increasing citric acid intake can help prevent certain types of kidney stones, such as calcium oxalate stones. Citric acid helps to bind calcium in the urine, reducing the risk of stone formation. Citric acid can be found in citrus fruits and juices, and the nurse may advise the client to include more of these foods in their diet.
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