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A nurse is caring for a client who has a new diagnosis of urolithiasis.

Which of the following should the nurse identify as an associated risk factor?

A.

Family history.

B.

BMI less than 25.

C.

Hypocalcemia.

D.

Diuretic use.

Answer and Explanation

The Correct Answer is A

 

The correct answer is choice a. Family history.

 

Choice A rationale:

 Family history is a well-known risk factor for urolithiasis. If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.

 

Choice B rationale:

 A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis. In fact, obesity is more commonly linked to a higher risk of kidney stones.

 

Choice C rationale:

 Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis. High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.

 

Choice D rationale:

 Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic. Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.


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Related Questions

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

  • Vision (Blurred)

    • Interpretation: Potential worsening condition
    • Rationale: Blurred vision can be a sign of lithium toxicity. Despite the lithium level improving, this symptom indicates that neurotoxicity may still be present.

  • Lithium Level (1.2 mEq/L)

    • Interpretation: Potential improvement
    • Rationale: The lithium level has decreased from 1.8 mEq/L (toxic) to 1.2 mEq/L, which is within the therapeutic range (0.6-1.2 mEq/L). This indicates that treatment to lower lithium toxicity is effective.

  • Urine Output (40 mL/hr)

    • Interpretation: Potential improvement
    • Rationale: A urine output of 40 mL/hr is within the acceptable range (normal is greater than 30 mL/hr), suggesting that kidney function is adequate and not compromised by lithium toxicity.

  • Mucous Membranes (Pale, Dry)

    • Interpretation: Potential worsening condition
    • Rationale: Pale, dry mucous membranes suggest dehydration, which can increase the risk of lithium toxicity and negatively affect overall health.

  • Vital Signs (BP 88/50 mm Hg, Pulse 96/min)

    • Interpretation: Potential worsening condition
    • Rationale: The drop in blood pressure from 130/84 mm Hg to 88/50 mm Hg indicates hypotension. This could be related to dehydration or lithium toxicity, and it requires follow-up as the condition is deteriorating.

Correct Answer is B

Explanation

Choice A rationale:
Sensitivity to light is common after cataract surgery and does not need to be reported.
Choice B rationale:
Severe pain could indicate complications such as increased intraocular pressure or infection.
Choice C rationale:
Itching is common after surgery due to healing and does not need to be reported.
Choice D rationale:
Difficulty with vision is expected due to the eye patch, but fear of falling should be addressed through safety measures, not necessarily reported to the provider.

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