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?

"Limit your intake of foods high in oxalate, such as spinach and nuts."

"Increase your dietary intake of red meat and fish."

"Consume more carbonated beverages to improve kidney function."

"Avoid dairy products to prevent calcium oxalate stone formation."

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Calcium oxalate stones are common, and limiting the intake of foods high in oxalate, such as spinach, nuts, and certain other vegetables and fruits, can help reduce the risk of stone recurrence.

B. Increasing the intake of red meat and fish is not recommended to prevent calcium oxalate stones. In fact, high intake of animal protein may increase the risk of certain types of stones, such as uric acid stones.

C. Consuming carbonated beverages is not recommended to improve kidney function or prevent kidney stones. Some carbonated beverages may contain phosphoric acid, which can contribute to stone formation.

D. Avoiding dairy products is not recommended to prevent calcium oxalate stone formation. In fact, adequate dietary calcium intake from food sources may help reduce the risk of these stones.

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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.

A. Sharp, stabbing pain in the lower abdomen B. Dull ache in the upper back and flank region C. Burning sensation during urination D. Constant, generalized abdominal discomfort

Correct Answer is B

Explanation

A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.

B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.

C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.

D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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 providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?

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?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

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?

A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

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?