A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

"Limiting fluid intake will help reduce your risk of developing kidney stones."

"Increasing your intake of calcium-rich foods can prevent kidney stone formation."

"Avoiding all fruits and vegetables can help prevent kidney stones."

"Maintaining adequate fluid intake is essential to prevent kidney stones."

Answer and Explanation

The Correct Answer is D

A. This statement is not correct. Adequate fluid intake is essential to help prevent kidney stones. Restricting fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.

C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.

D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.

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Correct Answer is B

Explanation

A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.

B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.

C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not calcium oxalate stones.

D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.

A. "Increasing fluid intake can help dissolve the stone and eliminate it through your urine." B. "Drinking more fluids will help to reduce the pain caused by the kidney stone." C. "Fluids can help prevent the formation of new stones in your kidneys." D. "Higher fluid intake will reduce the risk of infection associated with kidney stones."

Correct Answer is C

Explanation

A. While increasing fluid intake can help with the passage of small stones, it is not likely to dissolve larger stones. The primary benefit of increased fluid intake is to help prevent the formation of new stones.

B. Drinking more fluids may help alleviate some discomfort, but the primary goal is not pain reduction.

C. This is the correct answer. Adequate fluid intake can help prevent the formation of new kidney stones by diluting the urine and reducing the concentration of minerals that can contribute to stone formation.

D. While adequate fluid intake can help reduce the risk of urinary tract infections, it is not the primary reason for recommending increased fluid intake in clients with kidney stones.

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A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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?

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?

A client with a history of kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

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?

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?

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

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

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?