A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?
"Avoid foods high in oxalate, such as spinach and nuts."
"Limit your intake of purine-rich foods like organ meats and shellfish."
"Reduce your consumption of dairy products to lower calcium intake."
"Limit your intake of high-phosphorus foods like red meat and dairy."
The Correct Answer is D
A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.
B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.
C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.
D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
A. This is the correct answer. High dietary calcium intake is a common risk factor for certain types of kidney stones, particularly calcium oxalate stones. However, dietary calcium intake from food sources is not typically associated with an increased risk of kidney stones. Calcium supplements, on the other hand, may contribute to stone formation.
B. A low protein diet is not a significant risk factor for kidney stones. High-protein diets may be associated with an increased risk, but low protein intake is not a concern.
C. Adequate water consumption is essential to prevent kidney stones. Dehydration is a risk factor for stone formation, but excessive water consumption alone is not a significant risk factor.
D. While a sedentary lifestyle may be associated with other health risks, it is not a primary risk factor for kidney stones.
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