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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. After percutaneous nephrolithotomy (PCNL), the client may experience urinary retention due to swelling and irritation around the bladder or urethra from the procedure. The nurse should monitor the client for signs of urinary retention, such as difficulty urinating or a distended bladder, and take appropriate measures to relieve the obstruction.
B. Hyperkalemia is not directly related to PCNL. It may occur in certain medical conditions but is not a common complication of this procedure.
C. Hypoglycemia is not related to PCNL. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.
D. Hypertension is not directly related to PCNL. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of PCNL itself.
Questions
Correct Answer is D
Explanation
A. Diarrhea and abdominal cramping are not typically associated with kidney stone pain. These symptoms are more commonly seen in gastrointestinal disorders.
B. Painful and frequent urination may occur if the stone causes irritation in the bladder or urethra, but it is not a direct symptom of kidney stone pain.
C. Fatigue and generalized weakness are not specific symptoms of kidney stone pain. They may be associated with other medical conditions but are not directly related to renal calculus.
D. This is the correct answer. Nausea and vomiting are common symptoms that may accompany kidney stone pain, especially if the stone causes obstruction in the urinary tract. The pain and irritation can trigger a reflex that leads to nausea and vomiting.
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