A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?
"Limit your fluid intake to reduce the risk of stone formation."
"Include a high-protein diet to prevent the formation of kidney stones."
"Avoid all dairy products to reduce the risk of stone recurrence."
"Maintain adequate fluid intake to prevent stone formation."
The Correct Answer is D
A. This statement is not correct. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.
B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.
C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.
D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement is not correct. Vitamin C supplements may increase the risk of calcium oxalate stones in some individuals.
B. This is the correct answer. High doses of vitamin C can be metabolized into oxalate in the body
, which can contribute to the formation of calcium oxalate stones. For individuals with a history of calcium oxalate stones, it is best to limit vitamin C supplements.
C. Taking vitamin C supplements in large doses is not recommended, especially for individuals prone to kidney stones.
D. Vitamin C supplements do have an effect on kidney stone formation, particularly for those at risk of calcium oxalate stones.
Correct Answer is B
Explanation
A. Fever and chills are more commonly associated with a urinary tract infection, which can sometimes be a complication of kidney stones. However, the severe pain described is more likely related to the presence of the stone itself.
B. This is the correct answer. Blood in the urine, also known as hematuria, is a common symptom of kidney stones. As the stone moves through the urinary tract, it may cause irritation and small blood vessels may be damaged, resulting in blood in the urine.
C. Difficulty starting the urine stream is not a specific symptom of kidney stones. It may be seen in other urinary conditions but is not typically associated with stones.
D. The frequent urge to urinate may be experienced if the stone causes irritation in the bladder, but it is not the most common symptom associated with kidney stones.
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