A nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi?
Eats a vegetarian diet with cheese 2 to 3 times a day.
Jogs more frequently than usual daily routine.
Drinks several bottles of carbonated water daily.
Experiences additional stress since adopting a child.
The Correct Answer is C
Choice A rationale
A vegetarian diet with cheese 2 to 3 times a day does not significantly increase the risk of kidney stones. While dairy products do contain calcium, which can contribute to stone formation, they also contain other compounds that help prevent stones. Furthermore, a vegetarian diet is typically high in fiber, which can also help prevent stone formation.
Choice B rationale
Jogging more frequently than usual daily routine does not increase the risk of kidney stones. In fact, regular exercise can help prevent kidney stones by keeping the urinary tract healthy and promoting regular urination.
Choice C rationale
Drinking several bottles of carbonated water daily can increase the risk of kidney stones. Carbonated water contains phosphoric acid, which can increase the acidity of the urine. This can promote the formation of kidney stones, especially in individuals who are already at risk.
Choice D rationale
Experiencing additional stress since adopting a child does not directly increase the risk of kidney stones. While stress can have many negative effects on health, there is no direct link between stress and kidney stone formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The label states to add 3.5 mL of diluent for reconstitution, not 5 mL. So, choice A is incorrect.
Choice B rationale:
After reconstitution, the vial will contain 1 gram of medication, not 500 mg. So, choice B is incorrect.
Choice C rationale:
The label does state to use the solution within 1 hour of reconstitution. So, choice C is correct.
Choice D rationale:
The label states the medication can be used for IM or IV, not only IM. So, choice D is incorrect.
So, the correct answer is C. Administer the medication within 1 hr of reconstitution.
Correct Answer is ["2 "]
Explanation
Step 1: Calculate the total daily dose of tobramycin. The doctor ordered 4 mg/kg/day, so 4 mg/kg/day × 60 kg = 240 mg/day.
Step 2: Divide the total daily dose into three equal doses, as it is to be given in three divided doses. So, 240 mg/day ÷ 3 = 80 mg/dose.
Step 3: Calculate the volume of tobramycin to administer per dose. The available tobramycin is 40 mg/mL, so 80 mg ÷ 40 mg/mL = 2 mL. The nurse should administer 2 mL of tobramycin per dose.
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