A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?
"Increase your intake of dairy products to prevent stone formation."
"Limit your consumption of high-phosphorus foods to reduce stone risk."
"Avoid foods high in purines, such as organ meats and certain seafood."
"Limit your fluid intake to prevent struvite stone formation."
The Correct Answer is B
A. This statement is not correct. Increasing dairy product intake may provide calcium, which is important for overall health, but it is not a specific dietary modification to prevent struvite stones.
B. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.
C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not struvite stones.
D. Limiting fluid intake is
not recommended for the prevention of struvite stones. Adequate fluid intake is essential in preventing stone formation.
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Related Questions
Correct Answer is D
Explanation
A. Pain relief is important in managing kidney stone pain, but potassium citrate is not primarily prescribed for this purpose.
B. Acid-base balance regulation may be one of the functions of potassium citrate, but it is not the primary purpose when prescribed to a client with renal calculus.
C. Urinary tract infection treatment is not the primary purpose of potassium citrate. While it may have some benefits in preventing certain types of urinary tract infections associated with stones, its primary purpose is not to treat infections.
D. This is the correct answer. Potassium citrate is prescribed to help dissolve certain types of kidney stones, particularly calcium oxalate stones and uric acid stones. It works by increasing the pH of the urine, making it more alkaline and less conducive to stone formation.
Correct Answer is C
Explanation
A. Thiazide diuretics can lead to decreased calcium excretion in the urine, which may be beneficial for some clients with kidney stones. They are used to reduce the excretion of calcium and prevent the formation of calcium-based stones.
B. Hypernatremia is not directly related to thiazide diuretic use. Thiazide diuretics primarily affect sodium excretion in the urine, but they do not typically cause hypernatremia.
C. This is the correct answer. Thiazide diuretics can cause hypokalemia (low potassium levels) as they increase potassium excretion in the urine.
D. Thiazide diuretics do not cause hypermagnesemia. They do not have a significant effect on magnesium excretion in the urine.
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