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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Increased pulse rate, adventitious breath sounds. Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. It can cause weakness, paralysis, and difficulty breathing. Increased pulse rate and adventitious breath sounds, such as crackles or wheezes, may indicate that the client is experiencing respiratory distress and needs oral suctioning. Increased pulse rate and respirations of 16 breaths/minute, choice B, may indicate anxiety or pain but are not necessarily indicative of the need for oral suctioning.

A. Place end of tube in water and observe for bubbling. B. Using auscultation technique. C. Measure pH of aspirates. D. Radiographic confirmation.

Correct Answer is D

Explanation

Radiographic confirmation. Radiographic confirmation is the most reliable method to verify the placement of nasogastric tubes, and it is considered the gold standard. The nurse should use it to confirm placement initially and periodically to ensure that the tube is in the stomach and not in the lungs or esophagus.

Option A, placing the end of the tube in water and observing for bubbling, is incorrect because it is not a reliable method, and it can cause aspiration or infection.

Option B, using the auscultation technique, is incorrect because it can lead to misinterpretation of bowel sounds, and it is not reliable.

Option C, measuring pH of aspirates, is incorrect because it is not a reliable method, and it can be affected by several factors, including medications, stress, and nutritional status.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning?

Correct Answer is A

Explanation

The client had a nasogastric tube placed two days ago. Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

Correct Answer is D

Explanation

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