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

Reducing calcium intake from dairy products

Increasing consumption of red meat and shellfish

Limiting purine-rich foods such as organ meats and certain sea food

Increasing intake of oxalate-rich foods like spinach and nuts

Answer and Explanation

The Correct Answer is C

A. Reducing calcium intake is not typically recommended for uric acid stones. In fact, low calcium intake can increase the risk of other types of kidney stones.

B. Increasing consumption of red meat and shellfish is not recommended for uric acid stones. These foods are high in purines, which can increase uric acid levels in the body.

C. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so limiting these foods is important in managing uric acid stones.

D. Increasing intake of oxalate-rich foods is not specifically relevant to uric acid stones. Oxalate-rich foods are associated with calcium oxalate stones, not uric acid stones.

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Correct Answer is D

Explanation

A. Smoking cessation is important for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

B. Increased alcohol consumption is not recommended as a preventive measure for kidney stones. In fact, excessive alcohol intake can lead to dehydration, which is a risk factor for stone formation.

C. Regular exercise can be beneficial for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

D. This is the correct answer. A high sodium diet can increase the excretion of calcium in the urine, leading to a higher risk of calcium-based kidney stones. Reducing sodium intake can help prevent stone formation.

A. "I should drink plenty of water to help flush out any stone fragments." B. "I will avoid strenuous activities for a few days after the procedure." C. "It's normal to have some blood in my urine for a short time after the surgery." D. "I can resume my regular diet immediately after the procedure."

Correct Answer is D

Explanation

A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.

B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.

C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.

D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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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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A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

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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