The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.
Which of the following food choices by the client would indicate that the client requires more teaching?

Venison stew and ice cream.

Poached salmon and green beans.

Spinach salad and rhubarb pie.

Sautéed mushrooms and fried rice.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Venison stew and ice cream are low in oxalate content. Oxalate kidney stones are formed due to high urinary oxalate levels, often from consuming oxalate-rich foods. Venison provides protein but does not contribute significantly to oxalate levels, while dairy products like ice cream have calcium which binds oxalate, reducing absorption in the gut.

Choice B rationale

Poached salmon and green beans are suitable choices as they have low oxalate content. Salmon provides omega-3 fatty acids, which can reduce kidney stone risk, and green beans are a low-oxalate vegetable, making this meal appropriate for oxalate management.

Choice C rationale

Spinach and rhubarb are high in oxalates. Spinach contains around 750 mg oxalates per 100 grams, and rhubarb contains 860 mg per 100 grams. Consuming these increases urinary oxalate excretion, elevating the risk of stone formation, indicating a need for further dietary education.

Choice D rationale

Sautéed mushrooms and fried rice are acceptable as both are low in oxalates. Mushrooms provide nutrients like selenium and vitamin D, while rice is a carbohydrate source free from oxalate, making this option suitable for oxalate kidney stone prevention.

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Correct Answer is ["B","C"]

Explanation

Choice A rationale

Thrombopoiesis, the process of platelet production, is not typically a direct cause of secondary immune thrombocytopenic purpura. This condition often stems from an underlying immune or viral trigger rather than bone marrow dysfunction.

Choice B rationale

HIV is a recognized cause of secondary ITP due to immune dysregulation and increased platelet destruction. It is essential to test for HIV in clients with newly diagnosed ITP to identify and manage the underlying condition effectively.

Choice C rationale

Hepatitis C virus is a common trigger for secondary ITP due to immune complex formation and platelet destruction. Testing for HCV is crucial for clients with thrombocytopenia to establish a precise etiology and guide treatment.

Choice D rationale

Von Willebrand disease primarily affects von Willebrand factor and is associated with qualitative or quantitative clotting issues rather than platelet destruction or secondary ITP. It is not routinely tested in this context.

Choice E rationale

Hemophilia B involves Factor IX deficiency leading to bleeding disorders but does not relate to immune-mediated platelet destruction. Testing for hemophilia B is irrelevant in clients suspected of secondary ITP.

A. I will decrease my caffeine intake down to one cup per day. B. I should drink grapefruit juice instead of orange juice in the morning. C. I will practice Kegel exercises regularly. D. I should have a fixed time schedule for going to the bathroom.

Correct Answer is B

Explanation

Choice A rationale

Decreasing caffeine intake is a proven method for managing urinary incontinence. Caffeine stimulates bladder activity, potentially worsening symptoms. Reducing caffeine to one cup per day can decrease urgency and frequency. This recommendation aligns with the scientific understanding that caffeine is a bladder irritant and is supported by clinical guidelines on managing urinary incontinence.

Choice B rationale

Grapefruit juice is acidic and can irritate the bladder lining, worsening urinary incontinence symptoms. Substituting orange juice with grapefruit juice does not address the problem, as both are acidic and contain bladder irritants. Citrus juices, including grapefruit and orange, are often advised against for patients managing urinary incontinence due to their potential to exacerbate symptoms.

Choice C rationale

Kegel exercises strengthen the pelvic floor muscles, enhancing bladder control and reducing incontinence episodes. This evidence-based practice is recommended for individuals with urinary incontinence. Regular Kegel exercise improves urinary sphincter function and supports the overall health of pelvic muscles, which is key for managing incontinence.

Choice D rationale

Establishing a fixed schedule for bathroom visits can prevent overdistension of the bladder and manage symptoms of urinary incontinence effectively. Timed voiding helps train the bladder and reduce episodes of urgency or leakage. It is widely supported as part of behavioral therapy for urinary incontinence management.

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The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.Which of the following food choices by the client would indicate that the client requires more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with secondary immune thrombocytopenic purpura (ITP). The nurse should expect the client to be tested for which of the following possible causes?

Correct Answer is ["B","C"]

Explanation

The nurse has taught a client with urinary incontinence about managing the problem.Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

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The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.
Which of the following food choices by the client would indicate that the client requires more teaching?