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. Excessive consumption of fruits and vegetables is not a primary cause of kidney stones. Some specific types of fruits and vegetables may contribute to stone formation, but it is not a general cause.

B. While genetic factors and family history can play a role in kidney stone formation, they are not the primary cause. The presence of minerals and salts in the urine is the main contributing factor.

C. An overactive bladder and frequent urination are not direct causes of kidney stone formation. They may be related to other urinary conditions but not to the formation of kidney stones.

D. This is the correct answer. Kidney stones are formed when certain minerals and salts in the urine form solid crystals that can clump together and grow into stones.

A. "This medication will help dissolve my existing kidney stones." B. "Potassium citrate will reduce the acidity of my urine." C. "I will take this medication to increase my calcium levels." D. "This medication will help decrease my urine output."

Correct Answer is B

Explanation

A. This statement is not correct. Potassium citrate does not dissolve existing kidney stones. It is used to prevent the formation of certain types of stones, particularly calcium oxalate stones.

B. This is the correct answer. Potassium citrate is an alkalizing agent that helps reduce the acidity of urine. By making the urine less acidic, it can help prevent the formation of certain types of stones, such as uric acid stones.

C. Potassium citrate does not increase calcium levels in the body. It may help prevent the formation of calcium oxalate stones, but it does not affect overall calcium levels.

D. Potassium citrate does not decrease urine output. It primarily works to reduce urine acidity and prevent 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 providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

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

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

A client with a history of kidney stones is prescribed allopurinol. The nurse should recognize that this medication is primarily used to:

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 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?