The nurse is planning care for a patient who is admitted to the hospital with a diagnosis of a kidney stone. Which of the following interventions would the nurse implement?
Strain all urine
Restrict fluids
Increase calcium intake
Maintain bedrest
The Correct Answer is A
Choice a reason: Straining all urine is an essential intervention for a patient with a kidney stone. This practice allows for the collection and analysis of any stones that pass, which can help determine their composition and guide future treatment and dietary recommendations. Identifying the type of stone is crucial for preventing recurrence.
Choice b reason: Restricting fluids is not recommended for patients with kidney stones. In fact, increasing fluid intake is encouraged to help flush out the urinary system, promote the passage of stones, and prevent the formation of new stones. Adequate hydration is a key component in managing and preventing kidney stones.
Choice c reason: Increasing calcium intake is not typically advised for patients with kidney stones, especially calcium oxalate stones. While calcium is an essential nutrient, excessive intake can contribute to stone formation. Dietary recommendations should be individualized based on the type of stones and the patient's overall health.
Choice d reason: Maintaining bedrest is not necessary for patients with kidney stones. Encouraging movement and activity can help facilitate the passage of stones. Bedrest may be recommended in specific cases where the patient is experiencing severe pain or complications, but generally, mobility is beneficial in managing kidney stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice a reason: Regular exercise is not a risk factor for urinary tract infections (UTIs). In fact, regular physical activity can contribute to overall health and well-being, including supporting a healthy immune system. There is no direct connection between exercise and an increased risk of UTIs.
Choice b reason: Drinking plenty of water is a preventive measure rather than a risk factor for UTIs. Adequate hydration helps to flush out bacteria from the urinary tract through frequent urination, reducing the likelihood of infection. Encouraging good hydration is an important strategy to prevent UTIs.
Choice c reason: Eating a balanced diet is beneficial for overall health and does not increase the risk of UTIs. A well-balanced diet supports the immune system and overall bodily functions, which can help in preventing infections, including UTIs. Proper nutrition is not associated with an increased risk of urinary tract infections.
Choice d reason: Poor personal hygiene is a significant risk factor for urinary tract infections. Inadequate hygiene practices, such as not cleaning the genital area properly or wiping from back to front after using the toilet, can introduce bacteria into the urinary tract, leading to infection. Ensuring good personal hygiene is crucial in preventing UTIs.
Correct Answer is B
Explanation
Choice a reason: Assessing kidney function is typically done using less invasive tests, such as blood tests to measure serum creatinine and blood urea nitrogen (BUN), and urine tests to assess protein levels, blood, and other markers. While renal biopsy provides detailed information about kidney tissue, it is not the primary method used solely for assessing kidney function.
Choice b reason: Diagnosing kidney diseases is the primary purpose of a renal biopsy. This procedure involves taking a small sample of kidney tissue, which is then examined under a microscope. A renal biopsy can provide detailed information about the type, severity, and progression of kidney disease, helping healthcare providers to make accurate diagnoses and develop appropriate treatment plans. It is particularly useful in cases of unexplained kidney dysfunction, nephrotic syndrome, and certain types of glomerulonephritis.
Choice c reason: Treating kidney infections is typically done through medication, primarily antibiotics. A renal biopsy is not used as a treatment method for infections. While it may help diagnose conditions that predispose to infections, the biopsy itself does not serve as a treatment for kidney infections.
Choice d reason: Removing kidney stones is performed through various surgical and non-surgical methods, such as lithotripsy, ureteroscopy, or percutaneous nephrolithotomy. A renal biopsy is not used for the removal of kidney stones. Instead, it focuses on obtaining tissue samples for diagnostic purposes, not for treating or removing physical obstructions like stones.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
