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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.
B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.
C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not calcium oxalate stones.
D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.
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