A nurse is providing dietary teaching to a client with a history of recurring kidney stones. Which instruction should the nurse give to help prevent future stones?
Drink at least 3 liters of fluid per day.
Limit animal protein intake to 12 ounces daily.
Restrict calcium intake to one serving per day.
Consume a cup of citrus juice daily.
The Correct Answer is A
Choice A reason: Adequate hydration is the most effective strategy to prevent kidney stone formation. Drinking at least 3 liters of fluid daily helps dilute urine and reduce the concentration of stone-forming substances such as calcium, oxalate, and uric acid.
Choice B reason: While limiting excessive animal protein can help reduce uric acid levels and prevent certain types of stones, the recommendation is typically to moderate—not strictly limit—intake. The 12-ounce figure may be too rigid and not universally applicable.
Choice C reason: Restricting calcium intake is not recommended unless medically indicated. In fact, low dietary calcium can increase oxalate absorption and paradoxically raise the risk of calcium oxalate stones. Calcium should be consumed through food sources rather than supplements.
Choice D reason: Citrus juices, especially those containing citrate like lemon juice, can help prevent stone formation. However, the volume and frequency matter. A single cup daily may not be sufficient alone and should be part of a broader hydration and dietary strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Clients with hypothyroidism often experience fatigue and reduced energy levels. Encouraging high activity may lead to exhaustion and is not appropriate until hormone levels are stabilized.
Choice B reason: Levothyroxine should be administered on an empty stomach, typically 30–60 minutes before breakfast, to enhance absorption. This is a cornerstone of effective pharmacologic management for hypothyroidism.
Choice C reason: Weight gain, not weight loss, is a common symptom of hypothyroidism due to slowed metabolism. High-calorie meals are not indicated and may exacerbate weight-related complications.
Choice D reason: While clients may experience cold intolerance, providing extra blankets is a comfort measure, not a primary intervention. It supports symptom relief but does not address the underlying condition.
Correct Answer is A
Explanation
Choice A reason: Pursed-lip breathing helps maintain airway patency, prolongs exhalation, and improves gas exchange. It is a cornerstone technique in COPD management.
Choice B reason: High-flow oxygen via non-rebreather mask may suppress respiratory drive in COPD clients who retain CO₂. Oxygen should be titrated carefully to maintain safe saturation levels.
Choice C reason: Bronchodilators are typically administered before meals to improve breathing and reduce fatigue during eating. Delaying until after meals may not optimize therapeutic benefit.
Choice D reason: Lying flat can impair diaphragmatic movement and worsen ventilation. Upright or semi-Fowler’s positioning is preferred to enhance lung expansion.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.