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."

Answer and Explanation

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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Correct Answer is D

Explanation

A. Smoking cessation is important for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

B. Increased alcohol consumption is not recommended as a preventive measure for kidney stones. In fact, excessive alcohol intake can lead to dehydration, which is a risk factor for stone formation.

C. Regular exercise can be beneficial for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

D. This is the correct answer. A high sodium diet can increase the excretion of calcium in the urine, leading to a higher risk of calcium-based kidney stones. Reducing sodium intake can help prevent stone formation.

A. Sharp, stabbing pain in the lower abdomen B. Dull ache in the upper back and flank region C. Burning sensation during urination D. Constant, generalized abdominal discomfort

Correct Answer is B

Explanation

A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.

B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.

C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.

D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.

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A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?

Correct Answer is D

Explanation

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

Correct Answer is B

Explanation

A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

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

A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

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 teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

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?