Renal Calculus

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Question 1:
A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?
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Question 2:
A client with a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?
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Question 3:
A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?
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Question 4:
A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?
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Question 5:

A nurse is assessing a client with suspected renal calculi. The client reports experiencing sudden and severe pain in the right flank area that radiates to the groin. The nurse notes that the client is restless and unable to find a comfortable position. What type of renal calculi is most likely causing the client's symptoms?

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Question 6:
A nurse is providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?
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Question 7:
A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?
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Question 8:
A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?
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Question 9:
A nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?
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Question 10:
A client with a history of calcium oxalate kidney stones asks the nurse, "What dietary modifications can I make to reduce the risk of stone recurrence?" What is the nurse's best response?
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Question 11:
A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?
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Question 12:
A nurse is assessing a client with suspected kidney stones. The client reports experiencing severe pain in the back and lower abdomen, along with nausea and vomiting. On physical examination, the nurse notes costovertebral angle tenderness. Which type of kidney stones is most likely causing the client's symptoms?
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Question 13:
A nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?
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Question 14:
A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?
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Question 15:
A client with renal calculi asks the nurse about the primary components of kidney stones. How should the nurse respond?
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Question 16:
A nurse is discussing the role of dehydration in the formation of renal calculi. What is the nurse's best explanation?
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Question 17:
A client with a history of kidney stones asks the nurse about the role of genetics in stone formation. How should the nurse respond?
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Question 18:
A nurse is explaining the role of urinary stasis in the formation of renal calculi. What information should the nurse include?
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Question 19:
A client with renal calculi asks the nurse about the role of pH in stone formation. How should the nurse respond?
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Question 20:
A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?
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Question 21:
A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?
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Question 22:
A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?
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Question 23:
A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?
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Question 24:
A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?
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Question 25:
A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?
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Question 26:
A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?
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Question 27:
A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?
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Question 28:
A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?
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Question 29:
A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?
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Question 30:
A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?
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Question 31:
A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?
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Question 32:
A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?
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Question 33:
A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?
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Question 34:
A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?
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Question 35:
A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?
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Question 36:
A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?
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Question 37:
A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:
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Question 38:

A client has been diagnosed with uric acid stones. The nurse should recommend dietary modifications that include:

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Question 39:
A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:
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Question 40:
A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?
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Question 41:
A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?
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Question 42:
A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?
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Question 43:
A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?
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Question 44:
A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?
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Question 45:
A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?
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Question 46:
A client with a history of kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:
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Question 47:
A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?
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Question 48:
A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?
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Question 49:
A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?
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Question 50:
A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?
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Question 51:
A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?
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Question 52:
A client with a history of kidney stones is prescribed allopurinol. The nurse should recognize that this medication is primarily used to:
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Question 53:
A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?
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Question 54:
A client with a history of kidney stones is prescribed a thiazide diuretic. The nurse should monitor the client's laboratory values for which electrolyte imbalance?
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