A nurse is planning care for a client who has been diagnosed with Nephrolithiasis. Which of the following is most important to include in the client teaching?

Limit protein intake to 2 servings per day.

Encourage intake of at least 3 litres of fluids per day

Encourage bed rest

Apply cold compress to the client's flank area.

Answer and Explanation

The Correct Answer is B

A. Limiting protein intake may be beneficial for certain kidney conditions but is not the priority for nephrolithiasis.

B. Encouraging adequate fluid intake (at least 3 liters per day) is critical to help prevent the formation of kidney stones by promoting urine output and dilution of substances that form stones.

C. Bed rest is not necessary for nephrolithiasis unless the client is in severe pain or experiencing complications.

D. While applying cold compresses may help with pain, increasing fluid intake is the most important action for preventing further stone formation.

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Correct Answer is C

Explanation

A. Slowing the rate of dialysis may be appropriate if the hypotension persists, but the priority action is to improve circulation immediately.

B. Zofran is used to treat nausea, but it is not the priority in this case.

C. Placing the client in a modified Trendelenburg’s position (head down, feet up) helps improve circulation and increase blood pressure.

D. Administering oxygen may be helpful if oxygen saturation is low, but the primary concern here is addressing hypotension and improving circulation.

A. pulmonary edema B. hypokalemia C. hypernatremia D. dehydration

Correct Answer is A

Explanation

A. Pulmonary edema: Fluid retention is a hallmark of the oliguric phase, leading to fluid overload and potential pulmonary edema.

B. Hypokalemia: Hyperkalemia, not hypokalemia, is expected in the oliguric phase.

C. Hypernatremia: Hyponatremia, rather than hypernatremia, is more likely due to dilutional effects from fluid retention.

D. Dehydration: Fluid retention and overload are characteristic of this phase, not dehydration.

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A nurse is planning care for a client who has been diagnosed with Nephrolithiasis. Which of the following is most important to include in the client teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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