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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale
Placing a sandbag to the lateral calf is not an effective method to prevent hip dislocation. Sandbags are typically used to provide support and immobilization in other contexts, such as stabilizing fractures. They do not provide the necessary support to prevent hip dislocation after a total hip arthroplasty.
Choice B rationale
Placing a wedge pillow between the legs is an effective method to prevent hip dislocation after a total hip arthroplasty. The wedge pillow helps to maintain proper alignment of the hip joint by keeping the legs abducted (apart) and preventing adduction (bringing the legs together), which can cause dislocation.
Choice C rationale
Placing a trochanter roll against the thigh is not specifically aimed at preventing hip dislocation. Trochanter rolls are used to prevent external rotation of the hip in patients who are immobile, but they do not provide the necessary support to prevent dislocation after hip surgery.
Choice D rationale
Placing a footboard on the bed is not an effective method to prevent hip dislocation. Footboards are used to provide support to the feet and prevent foot drop in bedridden patients, but they do not address the risk of hip dislocation.
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