A client with a history of kidney stones is prescribed a thiazide diuretic. The nurse should monitor the client's laboratory values for which electrolyte imbalance?
Hypercalcemia
Hypernatremia
Hypokalemia
Hypermagnesemia
The Correct Answer is C
A. Thiazide diuretics can lead to decreased calcium excretion in the urine, which may be beneficial for some clients with kidney stones. They are used to reduce the excretion of calcium and prevent the formation of calcium-based stones.
B. Hypernatremia is not directly related to thiazide diuretic use. Thiazide diuretics primarily affect sodium excretion in the urine, but they do not typically cause hypernatremia.
C. This is the correct answer. Thiazide diuretics can cause hypokalemia (low potassium levels) as they increase potassium excretion in the urine.
D. Thiazide diuretics do not cause hypermagnesemia. They do not have a significant effect on magnesium excretion in the urine.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. High dietary calcium intake is a common risk factor for certain types of kidney stones, particularly calcium oxalate stones. However, dietary calcium intake from food sources is not typically associated with an increased risk of kidney stones. Calcium supplements, on the other hand, may contribute to stone formation.
B. A low protein diet is not a significant risk factor for kidney stones. High-protein diets may be associated with an increased risk, but low protein intake is not a concern.
C. Adequate water consumption is essential to prevent kidney stones. Dehydration is a risk factor for stone formation, but excessive water consumption alone is not a significant risk factor.
D. While a sedentary lifestyle may be associated with other health risks, it is not a primary risk factor for kidney stones.
Correct Answer is D
Explanation
A. Diarrhea and abdominal cramping are not typically associated with kidney stone pain. These symptoms are more commonly seen in gastrointestinal disorders.
B. Painful and frequent urination may occur if the stone causes irritation in the bladder or urethra, but it is not a direct symptom of kidney stone pain.
C. Fatigue and generalized weakness are not specific symptoms of kidney stone pain. They may be associated with other medical conditions but are not directly related to renal calculus.
D. This is the correct answer. Nausea and vomiting are common symptoms that may accompany kidney stone pain, especially if the stone causes obstruction in the urinary tract. The pain and irritation can trigger a reflex that leads to nausea and vomiting.
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