A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?
Apply cold compress to the client's flank area
Restrict protein intake to 2 servings per day.
Encourage intake of at least 3 L of fluids per day
Discourage ambulation
The Correct Answer is C
A. Apply cold compress to the client's flank area - Applying a warm compress, not a cold one, to the flank area can help alleviate pain associated with urolithiasis. Heat can promote muscle relaxation and increase blood flow to the area, potentially easing discomfort.
B. Restrict protein intake to 2 servings per day - There is no direct connection between protein intake and urolithiasis. However, specific dietary recommendations may vary based on the type of kidney stones a person has. For example, individuals with certain types of stones might be advised to limit oxalate-rich foods. It's essential to tailor dietary advice based on the composition of the stones.
C. Encourage intake of at least 3 L of fluids per day - Adequate fluid intake, particularly water, is crucial for preventing the formation of kidney stones. Increased fluid intake can help dilute substances in the urine that contribute to stone formation, reducing the risk of stone recurrence.
D. Discourage ambulation - Encouraging ambulation and movement is generally beneficial for patients with urolithiasis. Movement can help alleviate discomfort, prevent complications such as blood clots, and promote overall well-being. Restricting movement unnecessarily is not advisable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. There is no need for the client to lie flat for an extended period after a DEXA scan. The procedure is non-invasive and does not require immobilization.
B. Emptying the bladder before the test is essential to ensure a clear and accurate scan of the pelvis and lower spine. A full bladder might obstruct the view and affect the accuracy of the results.
C. DEXA scans do not typically require the use of IV dye. It is a simple X-ray procedure that measures bone density, and no contrast material is usually needed.
D. Fasting is not necessary for a DEXA scan. The procedure does not involve ingesting or injecting any substances that require fasting.
Correct Answer is D
Explanation
A. Increase sodium intake - This is not a preventive measure for osteoporosis. High sodium intake can lead to increased calcium excretion and weaken bones.
B. Drink a cup of coffee each morning - Caffeine consumption, especially in excess, can interfere with calcium absorption and increase calcium excretion. Limiting caffeine intake is recommended for bone health. Drinking coffee in moderation is acceptable but excessive consumption should be avoided.
C. Have a bone-density scan each year - While bone-density scans (DEXA scans) are useful for diagnosing osteoporosis or assessing bone health, they are not typically recommended for young adults with a family history of osteoporosis unless there are specific risk factors present. Yearly scans are unnecessary and not cost-effective for young adults without significant risk factors.
D. Engage in weight-bearing exercise regularly - Weight-bearing exercises, such as walking, jogging, dancing, and resistance training, help to increase bone density and strength. Regular physical activity, especially weight-bearing exercises, is a recommended preventive measure against osteoporosis.
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