A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?

Obesity.

Dehydration.

Iron deficiency.

Protein in the urine.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Obesity is not a direct cause of renal calculi. However, it can be a risk factor due to associated conditions such as metabolic syndrome, diabetes, and hypertension, which can contribute to stone formation. Weight management and a healthy lifestyle can help reduce the risk of kidney stones.
Choice B rationale
Dehydration is a significant risk factor for the formation of renal calculi. When the body is dehydrated, the urine becomes concentrated, leading to the crystallization of minerals and the formation of stones. Adequate hydration is essential in preventing kidney stones by diluting the urine and reducing the concentration of stone-forming substances.
Choice C rationale

Iron deficiency is not associated with the formation of renal calculi. Iron deficiency primarily affects red blood cell production and can lead to anemia. It does not contribute to the crystallization of minerals in the urine or the formation of kidney stones.
Choice D rationale
Protein in the urine, or proteinuria, is not a direct cause of renal calculi. Proteinuria is often a sign of kidney damage or disease but does not lead to stone formation. The presence of protein in the urine should be evaluated to determine the underlying cause and appropriate treatment.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
Polyuria (frequent urination) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels)15.
Choice B rationale
Sweating is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice C rationale

Blurry vision can occur during hypoglycemia due to the lack of glucose available for the proper functioning of the eyes.
Choice D rationale
Tachycardia (rapid heartbeat) is a common symptom of hypoglycemia. It occurs as the body’s response to low blood sugar levels, triggering the release of adrenaline.
Choice E rationale
Polydipsia (excessive thirst) is not a typical manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.

A. Tell the client to expect a decrease in urine output. B. Provide the client a high protein diet. C. Maintain the client on bed rest. D. Encourage the client to drink 3 L of fluids per day.

Correct Answer is D

Explanation

Choice A rationale
Telling the client to expect a decrease in urine output is incorrect because it may indicate dehydration, obstruction, or infection. Clients with urolithiasis should be encouraged to maintain adequate urine output to help flush out stones and prevent new stone formation. Decreased urine output can lead to complications and should be addressed promptly.
Choice B rationale
Providing the client with a high protein diet is incorrect because it may increase uric acid and calcium excretion, which can promote stone formation. Clients with urolithiasis should follow a balanced diet that is low in substances that can contribute to stone formation, such as oxalates, purines, and excessive calcium.
Choice C rationale
Maintaining the client on bed rest is incorrect because it may decrease renal perfusion and increase urinary stasis. Clients with urolithiasis should be encouraged to stay active and mobile to promote better circulation and prevent complications. Bed rest is not typically recommended unless there are specific medical indications for it.
Choice D rationale
Encouraging the client to drink 3 L of fluids per day is correct because it helps to flush out stones, prevent new stone formation, and reduce urinary concentration. Adequate hydration is essential for clients with urolithiasis to maintain proper kidney function and reduce the risk of complications. Drinking plenty of fluids helps to dilute the urine and promote the passage of stones.

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A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply)

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Explanation

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Correct Answer is D

Explanation

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