A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

"Limit your intake of foods high in calcium."

"Increase your intake of foods high in oxalate."

"Avoid all fruits and vegetables to reduce oxalate intake."

"Reduce your consumption of sodium and processed foods."

Answer and Explanation

The Correct Answer is D

A. This statement is not correct. Limiting calcium intake is not recommended for preventing calcium oxalate stones. In fact, adequate dietary calcium can help reduce the risk of stone formation.

B. This statement is not correct. Foods high in oxalate, such as spinach and nuts, should be limited to prevent calcium oxalate stones.

C. This statement is not correct. Fruits and vegetables are essential for overall health and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to calcium oxalate stone formation.

D. This is the correct answer. Reducing sodium intake can be beneficial for kidney health, as high sodium intake can increase calcium excretion in the urine and promote stone formation. Additionally, processed foods may contain high levels of sodium and should be limited.

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Correct Answer is C

Explanation

A. Allopurinol does not directly increase urine output. It is not a diuretic and is not used for that purpose.

B. Allopurinol does not dissolve existing kidney stones. It is primarily used to prevent the formation of uric acid stones, not to treat existing stones.

C. This is the correct answer. Allopurinol is a medication used to reduce the production of uric acid in the body. By lowering uric acid levels, it can help prevent the formation of uric acid stones.

D. Allopurinol does not increase the excretion of calcium. It is used specifically to address uric acid levels and prevent uric acid stone formation.

A. "Avoid foods high in oxalate, such as spinach and nuts." B. "Limit your intake of purine-rich foods like organ meats and shellfish." C. "Reduce your consumption of dairy products to lower calcium intake." D. "Limit your intake of high-phosphorus foods like red meat and dairy."

Correct Answer is D

Explanation

A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.

B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.

C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.

D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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