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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The 78-year-old male with chronic kidney disease who develops a new nonproductive cough and shortness of breath is concerning for pulmonary edema or fluid overload, which can rapidly progress and require immediate attention.
B. The 37-year-old female with cellulitis is experiencing warmth in the affected leg, which is expected with cellulitis and may indicate the need for monitoring but is not as urgent as the other options.
C. The 70-year-old male who underwent a TURP is having a burning sensation during urination, which is a common postoperative finding and is not as concerning unless other complications arise.
D. The 52-year-old female with pancreatitis and abdominal pain rated 7 is in pain but is stable, and this pain can typically be managed with pain medication and monitoring, so she is not the most urgent.
Correct Answer is A
Explanation
A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.
B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.
C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.
D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.
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