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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Applying an ice pack to painful joints can help reduce inflammation and numb the area, providing temporary pain relief. However, it is not a recommended long-term strategy for managing osteoarthritis pain. Heat therapy is often more effective for chronic pain associated with osteoarthritis.
Choice B rationale
Taking aspirin on days with more pain is not recommended for osteoarthritis management. Aspirin is an NSAID and can cause gastrointestinal side effects with long-term use.
Acetaminophen is preferred for managing osteoarthritis pain due to its lower risk of side effects.
Choice C rationale
Increasing water intake to 2 liters per day is beneficial for overall health and can help maintain joint lubrication. Proper hydration is important for joint health and can help reduce the risk of further joint damage.
Choice D rationale
High-impact aerobics are not recommended for individuals with osteoarthritis as they can exacerbate joint pain and damage. Low-impact exercises such as swimming, cycling, and walking are better options for maintaining joint mobility and reducing pain.
Correct Answer is A
Explanation
Choice A rationale
Suprapubic tenderness is correct. Cystitis, an inflammation of the bladder, often presents with suprapubic tenderness due to the irritation and inflammation of the bladder wall.
Choice B rationale
Proteinuria is incorrect. While proteinuria can be a sign of kidney disease, it is not a typical finding in cystitis. Cystitis primarily affects the bladder and does not usually cause significant protein leakage into the urine.
Choice C rationale
Generalized edema is incorrect. Generalized edema is more commonly associated with conditions that affect the kidneys’ ability to filter blood, such as nephrotic syndrome, rather than cystitis.
Choice D rationale
Oliguria is incorrect. Oliguria, or reduced urine output, is not a typical symptom of cystitis. Cystitis usually causes symptoms like frequent urination, urgency, and dysuria.
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