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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","D","E"]
Explanation
Choice a reason: Gelatin dessert is a low-potassium option that is safe for a client with elevated potassium levels. It provides a tasty snack without contributing to the potassium load, making it suitable for clients on a potassium-restricted diet due to chronic kidney disease (CKD).
Choice b reason: Nectarines are high in potassium and should be avoided by clients with elevated potassium levels. Consuming nectarines can further increase serum potassium levels, which is dangerous for individuals with CKD and can lead to hyperkalemia, a potentially life-threatening condition.
Choice c reason: Bananas are well-known for their high potassium content and should not be given to clients with elevated potassium levels. Similar to nectarines, bananas can exacerbate hyperkalemia, making them unsuitable for individuals with CKD on hemodialysis.
Choice d reason: Cranberry juice is a low-potassium beverage and a safe choice for clients with elevated potassium levels. It can be a refreshing and hydrating option without adding to the potassium burden, making it appropriate for those on a restricted potassium diet.
Choice e reason: Clear carbonated beverages generally contain little to no potassium, making them a suitable choice for clients with elevated potassium levels. These beverages provide hydration and a flavorful alternative without the risk of increasing serum potassium levels.
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