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 D

Explanation

A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.

B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.

C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.

D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.

A. "Increase your intake of dairy products to prevent stone formation." B. "Limit your consumption of high-phosphorus foods to reduce stone risk." C. "Avoid foods high in purines, such as organ meats and certain seafood." D. "Limit your fluid intake to prevent struvite stone formation."

Correct Answer is B

Explanation

A. This statement is not correct. Increasing dairy product intake may provide calcium, which is important for overall health, but it is not a specific dietary modification to prevent struvite stones.

B. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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

D. Limiting fluid intake is

not recommended for the prevention of struvite stones. Adequate fluid intake is essential in preventing 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 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?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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 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?

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?

A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?

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?

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?

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

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?