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?
Family history.
BMI less than 25.
Hypocalcemia.
Diuretic use.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: Shivering.
Choice A rationale: Dehydration is a risk associated with high fever and infections like meningitis, but it is not a direct complication of using a hypothermia blanket.
Choice B rationale: Shivering is a complication of using a hypothermia blanket, as the body may react to the induced cooling by shivering, which can raise body temperature and counteract the blanket's cooling effect.
Choice C rationale: Seizures can occur in meningitis cases, but they are not specifically a complication of using a hypothermia blanket.
Choice D rationale: Burns are not a typical complication of using a hypothermia blanket when it is used as directed and monitored appropriately. However, skin irritation may occur in some cases.
Correct Answer is B
Explanation
Choice A rationale:
Difficulty reading is not typically associated with right hemisphere strokes.
Choice B rationale:
Aphasia, or difficulty with language, is a common symptom of right hemisphere strokes.
Choice C rationale:
Inability to recognize family members is not typically a symptom of right hemisphere strokes.
Choice D rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes, not right.
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