A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?
"Kidney stones are caused by excessive consumption of fruits and vegetables."
"Kidney stones are primarily caused by genetic factors and family history."
"Kidney stones are the result of an overactive bladder and frequent urination."
"Kidney stones are formed due to the presence of minerals and salts in the urine."
The Correct Answer is D
A. Excessive consumption of fruits and vegetables is not a primary cause of kidney stones. Some specific types of fruits and vegetables may contribute to stone formation, but it is not a general cause.
B. While genetic factors and family history can play a role in kidney stone formation, they are not the primary cause. The presence of minerals and salts in the urine is the main contributing factor.
C. An overactive bladder and frequent urination are not direct causes of kidney stone formation. They may be related to other urinary conditions but not to the formation of kidney stones.
D. This is the correct answer. Kidney stones are formed when certain minerals and salts in the urine form solid crystals that can clump together and grow into stones.
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Related Questions
Correct Answer is B
Explanation
A. Extracorporeal shock wave lithotripsy (ESWL) is typically used for smaller stones that can be broken up into smaller fragments and passed more easily. It is not usually recommended for large stones.
B. This is the correct answer. Percutaneous nephrolithotomy (PCNL) is a procedure used to remove larger kidney stones. It involves making a small incision in the back and inserting a nephroscope to directly visualize and remove the stone.
C. Ureteroscopy with laser lithotripsy is used for stones in the ureter, not in the kidney itself.
D. Cystoscopy with stent placement is used for conditions involving the lower urinary tract, such as the urethra and bladder, and is not typically used to remove kidney stones.
Correct Answer is D
Explanation
A. Limiting fluid intake is not recommended to prevent kidney stones. Adequate hydration is essential to prevent stone formation. Dehydration can lead to a higher concentration of minerals in the urine, increasing the risk of stones.
B. Including more foods high in oxalate is not recommended to prevent kidney stones, especially if the client has a history of calcium oxalate stones. Limiting the intake of oxalate-rich foods is a preventive measure.
C. Avoiding all dairy products is not recommended to prevent kidney stones. In fact, adequate dietary calcium intake from food sources may help reduce the risk of certain types of stones, such as calcium oxalate stones.
D. This is the correct answer. Staying hydrated and drinking plenty of water throughout the day is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.
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