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. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.

C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.

D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.

A. "Increasing fluid intake can help dissolve the stone and eliminate it through your urine." B. "Drinking more fluids will help to reduce the pain caused by the kidney stone." C. "Fluids can help prevent the formation of new stones in your kidneys." D. "Higher fluid intake will reduce the risk of infection associated with kidney stones."

Correct Answer is C

Explanation

A. While increasing fluid intake can help with the passage of small stones, it is not likely to dissolve larger stones. The primary benefit of increased fluid intake is to help prevent the formation of new stones.

B. Drinking more fluids may help alleviate some discomfort, but the primary goal is not pain reduction.

C. This is the correct answer. Adequate fluid intake can help prevent the formation of new kidney stones by diluting the urine and reducing the concentration of minerals that can contribute to stone formation.

D. While adequate fluid intake can help reduce the risk of urinary tract infections, it is not the primary reason for recommending increased fluid intake in clients with kidney stones.

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

Correct Answer is D

Explanation

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?

Correct Answer is C

Explanation

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 with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

A client has been diagnosed with uric acid stones. The nurse should recommend dietary modifications that include:

A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:

A client with a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?

A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by: