A nurse is providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

"You should avoid all dairy products to prevent future kidney stones."

"Increasing your dietary calcium intake may help prevent kidney stones."

"Reduce your fluid intake to decrease the risk of kidney stone formation."

"Drinking plenty of water and staying hydrated is essential for preventing kidney stones."

Answer and Explanation

The Correct Answer is D

A. Avoiding all dairy products is not a recommended prevention strategy for kidney stones. In fact, adequate dietary calcium may be beneficial for reducing the risk of certain types of stones.

B. Increasing dietary calcium intake, especially from food sources, may help prevent certain types of kidney stones, such as calcium oxalate stones.

C. Reducing fluid intake is not a recommended prevention strategy for kidney stones. Inadequate hydration can actually increase the risk of stone formation.

D. This is the correct answer. Drinking plenty of water and staying hydrated 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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Correct Answer is D

Explanation

A. Pain relief is important in managing kidney stone pain, but potassium citrate is not primarily prescribed for this purpose.

B. Acid-base balance regulation may be one of the functions of potassium citrate, but it is not the primary purpose when prescribed to a client with renal calculus.

C. Urinary tract infection treatment is not the primary purpose of potassium citrate. While it may have some benefits in preventing certain types of urinary tract infections associated with stones, its primary purpose is not to treat infections.

D. This is the correct answer. Potassium citrate is prescribed to help dissolve certain types of kidney stones, particularly calcium oxalate stones and uric acid stones. It works by increasing the pH of the urine, making it more alkaline and less conducive to stone formation.

A. "I should drink plenty of water to help flush out any stone fragments." B. "I will avoid strenuous activities for a few days after the procedure." C. "It's normal to have some blood in my urine for a short time after the surgery." D. "I can resume my regular diet immediately after the procedure."

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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A nurse is providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

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?

A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?