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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Restrict calcium intake to one serving per day:
This statement is not accurate. Adequate calcium intake is essential for bone health. Calcium-rich foods are important for maintaining strong bones and are not directly related to gout or uric acid kidney stones. It's crucial to differentiate between dietary recommendations for different health conditions.

B. Take 3,000 mg of vitamin C daily:
High doses of vitamin C can increase urinary oxalate and uric acid levels, which might contribute to the formation of kidney stones. It is generally not recommended for individuals with a history of uric acid kidney stones.

C. The nurse should instruct the client to limit foods high in purines.
Dietary changes are important in managing gout and preventing uric acid kidney stones. Purines are natural substances found in many foods, especially animal products, and purine-rich foods can contribute to increased uric acid levels, leading to gout attacks and kidney stones.

D. Eat 12 oz of animal protein daily:
Consuming excessive amounts of animal protein, particularly red meat, can lead to higher purine intake, which is not advisable for individuals prone to gout and uric acid kidney stones. High animal protein intake can increase uric acid production and may exacerbate these conditions. Moderation in protein intake, especially from animal sources, is recommended.

A. Increase sodium intake. B. Drink a cup of coffee each morning C. Have a bone-density scan each year. D. Engage in weight-bearing exercise regularly

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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A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

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