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:

Reducing inflammation in the urinary tract

Dissolving the stone in the kidney

Relaxing the smooth muscle of the ureters

Preventing bacterial growth in the urinary tract

Answer and Explanation

The Correct Answer is C

A. Alpha-blockers do not directly reduce inflammation in the urinary tract. They primarily work by relaxing the smooth muscle of the ureters, which can help ease the passage of kidney stones through the urinary tract.

B. Alpha-blockers do not dissolve kidney stones. They assist with stone passage by relaxing the ureters.

C. This is the correct answer. Alpha-blockers are prescribed to relax the smooth muscle of the ureters, allowing the stone to pass more easily through the urinary tract.

D. Alpha-blockers do not have a direct effect on preventing bacterial growth in the urinary tract. They are not antibiotics.

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Correct Answer is A

Explanation

A. This is the correct answer. Kidney stone pain is often described as colicky, which means it comes and goes in waves of severe pain. The pain can be intense and cramp-like, causing the client to writhe or be restless.

B. Gnawing pain is not typically associated with kidney stones. Gnawing pain is often described as a persistent, dull ache that can be more chronic in nature.

C. Stabbing pain is sharp and localized and is not typically used to describe kidney stone pain.

D. Numbing pain refers to a loss of sensation, which is not characteristic of kidney stone pain.

A. "Limiting fluid intake will help reduce your risk of developing kidney stones." B. "Increasing your intake of calcium-rich foods can prevent kidney stone formation." C. "Avoiding all fruits and vegetables can help prevent kidney stones." D. "Maintaining adequate fluid intake is essential to prevent kidney stones."

Correct Answer is D

Explanation

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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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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