An obese client is admitted for treatment of kidney stones. Which action by the practical nurse (PN) takes priority?
Measure intake and output while straining all urine.
Review foods that are high in oxalate.
Monitor the client's serum calcium levels.
Encourage the client to begin a weight loss program.
The Correct Answer is A
Choice A reason: Measuring intake and output while straining all urine is the priority action. This helps to monitor kidney function, assess fluid balance, and detect the passage of kidney stones. Straining urine can also catch any stones or fragments, which can be analyzed to determine their composition and guide further treatment.
Choice B reason: Reviewing foods that are high in oxalate is important for dietary management of kidney stones, but it is not the immediate priority. Dietary education is more relevant once the client's acute symptoms are managed and stabilized.
Choice C reason: Monitoring the client's serum calcium levels is important in the management of certain types of kidney stones, particularly those formed from calcium. However, this action is not as immediate a priority as measuring intake and output and straining urine to assess for stone passage.
Choice D reason: Encouraging the client to begin a weight loss program is beneficial for overall health and can reduce the risk of future kidney stones. However, it is not the immediate priority when treating an acute episode of kidney stones.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Red meats are typically high in sodium, especially if they are processed or cured. Encouraging the consumption of red meats would not be appropriate for a client with low sodium levels.
Choice B reason: Salted crackers are high in sodium and should be avoided for a client with low sodium levels. Consuming salted crackers would further decrease the sodium level, which is not desirable in this case.
Choice C reason: Fresh fruits are naturally low in sodium and are a good choice for a client with low sodium levels. They provide essential vitamins and nutrients without adding excess sodium to the diet.
Choice D reason: Green vegetables are also low in sodium and are a healthy option for a client with low sodium levels. However, fresh fruits are often more palatable and easier to incorporate into the diet, making them a better choice for encouraging the client to eat.
Correct Answer is C
Explanation
Choice A reason: Lymph nodes are important components of the immune system and play a crucial role in filtering harmful substances and housing lymphocytes. While HIV/AIDS can affect lymph nodes, it is not the primary target of the virus.
Choice B reason: The spleen is another vital organ in the immune system that helps filter blood and fight infections. However, it is not the specific target of HIV.
Choice C reason: T cells, specifically CD4+ T cells, are the main target of HIV (the virus that causes AIDS). HIV infects and destroys these cells, leading to a weakened immune system. The progressive loss of CD4+ T cells impairs the body's ability to fight off infections and certain cancers, which is characteristic of AIDS.
Choice D reason: B cells are responsible for producing antibodies and play a key role in the humoral immune response. While HIV/AIDS can indirectly impact B cell function due to the overall compromised immune system, B cells are not the primary cells affected by the virus.
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