A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?
"Yes, vitamin C supplements can help reduce the risk of stone formation."
"No, vitamin C supplements may increase the risk of calcium oxalate stones."
"You can take vitamin C supplements, but only in large doses."
"Vitamin C supplements have no effect on kidney stone formation."
The Correct Answer is B
A. This statement is not correct. Vitamin C supplements may increase the risk of calcium oxalate stones in some individuals.
B. This is the correct answer. High doses of vitamin C can be metabolized into oxalate in the body
, which can contribute to the formation of calcium oxalate stones. For individuals with a history of calcium oxalate stones, it is best to limit vitamin C supplements.
C. Taking vitamin C supplements in large doses is not recommended, especially for individuals prone to kidney stones.
D. Vitamin C supplements do have an effect on kidney stone formation, particularly for those at risk of calcium oxalate stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.
B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.
C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.
D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.
Correct Answer is B
Explanation
A. Calcium oxalate stones may cause pain, but they do not typically radiate to the groin. They are more likely to cause localized pain in the back or side.
B. This is the correct answer. Uric acid stones can cause sudden and severe pain that radiates from the back to the groin. The pain is often described as colicky and is associated with restlessness.
C. Struvite stones are typically associated with urinary tract infections and may not cause the sudden and severe pain described in the question.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain.
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