A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?
"Limit your intake of fluids to reduce the risk of kidney stone formation."
"Include more foods high in oxalate, such as spinach and nuts, in your diet."
"Avoid all dairy products to prevent the formation of kidney stones."
"Stay hydrated and drink plenty of water throughout the day."
The Correct Answer is D
A. Limiting fluid intake is not recommended to prevent kidney stones. Adequate hydration is essential to prevent stone formation. Dehydration can lead to a higher concentration of minerals in the urine, increasing the risk of stones.
B. Including more foods high in oxalate is not recommended to prevent kidney stones, especially if the client has a history of calcium oxalate stones. Limiting the intake of oxalate-rich foods is a preventive measure.
C. Avoiding all dairy products is not recommended to prevent kidney stones. In fact, adequate dietary calcium intake from food sources may help reduce the risk of certain types of stones, such as calcium oxalate stones.
D. This is the correct answer. Staying hydrated and drinking plenty of water throughout the day 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.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. Excessive water intake is not a risk factor for kidney stones. In fact, adequate hydration is encouraged to prevent kidney stone formation.
B. Low dietary calcium intake is not a common risk factor for kidney stones. In some cases, excessive calcium supplementation may be a risk factor, but dietary calcium is generally not a concern.
C. This is the correct answer. Family history, a diet high in protein and salt, and dehydration are common risk factors for kidney stones.
D. Kidney stones are not mostly caused by consuming too many fruits and vegetables. Fruits and vegetables are generally considered beneficial for kidney health.
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