A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

"There is nothing you can do to prevent kidney stones if you have a family history."

"You can prevent kidney stones by avoiding all calcium-rich foods and beverages."

"Maintaining a healthy weight and drinking plenty of water can help reduce the risk of kidney stones."

"If you develop kidney stones, surgery is the only effective treatment option."

Answer and Explanation

The Correct Answer is C

A. This is not entirely accurate. While family history can be a risk factor for kidney stones, there are still preventive measures that individuals can take to reduce their risk.

B. Avoiding all calcium-rich foods and beverages is not recommended for preventing kidney stones. In fact, adequate dietary calcium from food sources is generally beneficial for kidney health and may help reduce the risk of certain types of stones.

C. This is the correct answer. Maintaining a healthy weight and drinking plenty of water are important lifestyle factors that can help reduce the risk of kidney stones. Adequate hydration helps prevent the concentration of minerals in the urine, reducing the likelihood of stone formation.

D. Surgery is not the only treatment option for kidney stones. Depending on the size and type of stone, other treatment options, such as lithotripsy or medication, may be considered.

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Correct Answer is D

Explanation

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.

A. "You will need to be placed under general anesthesia during the procedure." B. "The procedure involves the insertion of a scope into your urinary tract to remove the stone." C. "High-energy shock waves will be used to break up the stone into smaller fragments." D. "You will need to have a urinary catheter inserted after the procedure for several days."

Correct Answer is C

Explanation

A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.

B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.

C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.

D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.

Questions

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A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

Correct Answer is C

Explanation

A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?

A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?

A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?