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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Pain relief is important in managing kidney stone pain, but potassium citrate is not primarily prescribed for this purpose.

B. Acid-base balance regulation may be one of the functions of potassium citrate, but it is not the primary purpose when prescribed to a client with renal calculus.

C. Urinary tract infection treatment is not the primary purpose of potassium citrate. While it may have some benefits in preventing certain types of urinary tract infections associated with stones, its primary purpose is not to treat infections.

D. This is the correct answer. Potassium citrate is prescribed to help dissolve certain types of kidney stones, particularly calcium oxalate stones and uric acid stones. It works by increasing the pH of the urine, making it more alkaline and less conducive to stone formation.

A. "Limit your intake of foods high in calcium, such as dairy products." B. "Avoid purine-rich foods like organ meats and certain seafood." C. "Increase your consumption of spinach and other oxalate-rich foods." D. "Reduce your fluid intake to prevent stone formation."

Correct Answer is B

Explanation

A. This statement is not correct. Limiting intake of calcium is not necessary for the prevention of uric acid stones. In fact, low calcium intake can increase the risk of other types of stones.

B. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so avoiding these foods is important in managing uric acid stones.

C. Increasing consumption of oxalate-rich foods like spinach is not relevant to preventing uric acid stones.

D. Reducing fluid intake is not recommended for preventing any type of kidney stone. Adequate fluid intake is essential for kidney health and preventing stone formation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?

Correct Answer is B

Explanation

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

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 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 a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?

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

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 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?