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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This is the correct answer. Kidney stone pain is often described as colicky, which means it comes and goes in waves of severe pain. The pain can be intense and cramp-like, causing the client to writhe or be restless.

B. Gnawing pain is not typically associated with kidney stones. Gnawing pain is often described as a persistent, dull ache that can be more chronic in nature.

C. Stabbing pain is sharp and localized and is not typically used to describe kidney stone pain.

D. Numbing pain refers to a loss of sensation, which is not characteristic of kidney stone pain.

A. "There is nothing you can do to prevent kidney stones if you have a family history." B. "You can prevent kidney stones by avoiding all calcium-rich foods and beverages." C. "Maintaining a healthy weight and drinking plenty of water can help reduce the risk of kidney stones." D. "If you develop kidney stones, surgery is the only effective treatment option."

Correct Answer is C

Explanation

A. This is not entirely accurate. While family history can be a risk factor for kidney stones, there are still preventive measures that individuals can take to reduce their risk.

B. Avoiding all calcium-rich foods and beverages is not recommended for preventing kidney stones. In fact, adequate dietary calcium from food sources is generally beneficial for kidney health and may help reduce the risk of certain types of stones.

C. This is the correct answer. Maintaining a healthy weight and drinking plenty of water are important lifestyle factors that can help reduce the risk of kidney stones. Adequate hydration helps prevent the concentration of minerals in the urine, reducing the likelihood of stone formation.

D. Surgery is not the only treatment option for kidney stones. Depending on the size and type of stone, other treatment options, such as lithotripsy or medication, may be considered.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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