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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Calcium oxalate stones may cause pain, but they do not typically radiate to the groin. They are more likely to cause localized pain in the back or side.
B. This is the correct answer. Uric acid stones can cause sudden and severe pain that radiates from the back to the groin. The pain is often described as colicky and is associated with restlessness.
C. Struvite stones are typically associated with urinary tract infections and may not cause the sudden and severe pain described in the question.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain.
Correct Answer is D
Explanation
A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.
B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.
C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.
D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.
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