Examination of a client's bladder stones reveals that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet?
Low oxalate.
Low purine.
High sodium.
High protein.
The Correct Answer is B
Low purine. Uric acid stones may form due to high levels of uric acid in the urine. A low purine diet that restricts meat, seafood, and alcohol may help to reduce uric acid levels in the body.
Option A: Low oxalate is not a correct answer as it is a diet recommended for those with calcium oxalate stones.
Option C: High sodium is not a correct answer as it may increase the risk of kidney stones by increasing urinary calcium excretion.
Option D: High protein is not a correct answer as it may increase the risk of kidney stones due to increased urinary excretion of calcium, oxalate, and uric acid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.
Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.
Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.
Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.
Correct Answer is A
Explanation
Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.
Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.
Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.
Elevated white blood cells, choice D, may indicate an infection.
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