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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Related Questions
Correct Answer is B
Explanation
A. This statement is not correct. Limiting intake of calcium is not necessary for the prevention of uric acid stones. In fact, low calcium intake can increase the risk of other types of stones.
B. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so avoiding these foods is important in managing uric acid stones.
C. Increasing consumption of oxalate-rich foods like spinach is not relevant to preventing uric acid stones.
D. Reducing fluid intake is not recommended for preventing any type of kidney stone. Adequate fluid intake is essential for kidney health and preventing stone formation.
Correct Answer is D
Explanation
A. Limiting fluid intake to 1 liter per day is not recommended to prevent kidney stone formation. Adequate hydration is essential to
help prevent stone formation, as it helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.
B. Decreasing dietary fiber intake is not a preventive measure for kidney stones. In fact, increasing dietary fiber intake can be beneficial for overall health.
C. Reducing calcium intake from all sources is not recommended to prevent kidney stones. In some cases, reducing dietary calcium intake can actually increase the risk of certain types of kidney stones.
D. This is the correct answer. Increasing citric acid intake can help prevent certain types of kidney stones, such as calcium oxalate stones. Citric acid helps to bind calcium in the urine, reducing the risk of stone formation. Citric acid can be found in citrus fruits and juices, and the nurse may advise the client to include more of these foods in their diet.
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