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 D

Explanation

A. Limiting fluid intake to 1 liter per day is not recommended to prevent kidney stone formation. Adequate hydration is essential to

help prevent stone formation, as it helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.

B. Decreasing dietary fiber intake is not a preventive measure for kidney stones. In fact, increasing dietary fiber intake can be beneficial for overall health.

C. Reducing calcium intake from all sources is not recommended to prevent kidney stones. In some cases, reducing dietary calcium intake can actually increase the risk of certain types of kidney stones.

D. This is the correct answer. Increasing citric acid intake can help prevent certain types of kidney stones, such as calcium oxalate stones. Citric acid helps to bind calcium in the urine, reducing the risk of stone formation. Citric acid can be found in citrus fruits and juices, and the nurse may advise the client to include more of these foods in their diet.

A. "You should avoid all dairy products to prevent future kidney stones." B. "Increasing your dietary calcium intake may help prevent kidney stones." C. "Reduce your fluid intake to decrease the risk of kidney stone formation." D. "Drinking plenty of water and staying hydrated is essential for preventing kidney stones."

Correct Answer is D

Explanation

A. Avoiding all dairy products is not a recommended prevention strategy for kidney stones. In fact, adequate dietary calcium may be beneficial for reducing the risk of certain types of stones.

B. Increasing dietary calcium intake, especially from food sources, may help prevent certain types of kidney stones, such as calcium oxalate stones.

C. Reducing fluid intake is not a recommended prevention strategy for kidney stones. Inadequate hydration can actually increase the risk of stone formation.

D. This is the correct answer. Drinking plenty of water and staying hydrated is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.

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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 nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 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 nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

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