A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?
"Increase your intake of foods high in oxalate, such as spinach and nuts."
"Limit your consumption of dairy products to reduce calcium intake."
"Avoid foods high in purines, such as red meat and shellfish."
"Reduce your intake of sodium and processed foods."
The Correct Answer is B
A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.
B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.
C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not calcium oxalate stones.
D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.
B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.
C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.
D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.
Correct Answer is D
Explanation
A. Smoking cessation is important for overall health, but it is not a primary lifestyle factor related to kidney stone formation.
B. Increased alcohol consumption is not recommended as a preventive measure for kidney stones. In fact, excessive alcohol intake can lead to dehydration, which is a risk factor for stone formation.
C. Regular exercise can be beneficial for overall health, but it is not a primary lifestyle factor related to kidney stone formation.
D. This is the correct answer. A high sodium diet can increase the excretion of calcium in the urine, leading to a higher risk of calcium-based kidney stones. Reducing sodium intake can help prevent stone formation.
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