A nurse is reinforcing teaching with a client who has kidney stones Which of the following instructions should the nurse include?
"Filter your urine each day.”
"Drink iter of fluid each day."
“Choose sugar-sweetened beverages.”
“Limit your calcium intake.”
The Correct Answer is A
A. "Filter your urine each day." Filtering urine helps catch passed stones for analysis to determine their type and prevent recurrence.
B. "Drink 1 liter of fluid each day." Clients should drink 2–3 liters per day to help flush the urinary tract and prevent stone formation.
C. "Choose sugar-sweetened beverages." Sugar-sweetened beverages can increase the risk of certain types of stones, especially uric acid stones.
D. "Limit your calcium intake." Restricting calcium is not routinely recommended; low calcium may increase oxalate absorption and stone risk. Diet changes should be individualized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Symphysis pubis: This is not used in NG tube measurement; it’s used in bladder catheterization or pelvic assessments.
B. Umbilicus: Not part of the measurement for NG tube insertion.
C. Brachial artery: Not relevant to NG tube placement.
D. Xiphoid process: This is the correct anatomical landmark used to estimate the proper length for NG tube placement—from the nose to the ear to the xiphoid process ensures the tube reaches the stomach.
Correct Answer is B
Explanation
A. Wears sterile gloves to drain the ileostomy bag: Clean gloves are appropriate. Sterile gloves are unnecessary unless performing an invasive procedure.
B. Cleans the end of the ileostomy pouch before clamping: Cleaning the end of the pouch helps prevent skin irritation and controls odor. This reflects proper hygiene.
C. Empties the ileostomy bag when it is three-fourths full: The bag should be emptied when it is one-third to one-half full to prevent leaks or separation from the skin.
D. Washes the skin surrounding the client's ileostomy with hot water: Warm water is recommended. Hot water may irritate the skin.
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