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 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.

A. Hematuria B. Urinary retention C. Confusion D. Hypotension

Correct Answer is A

Explanation

A. Hematuria is a common symptom in polycystic kidney disease due to cyst rupture and bleeding within the kidneys.

B. Urinary retention is not typically a primary symptom of PKD.

C. Confusion is not a hallmark symptom of PKD, though it may occur in severe cases of kidney failure.

D. Hypotension is not a typical finding in PKD; clients may develop hypertension due to kidney dysfunction.

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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 A

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