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 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.

A. "Limiting fluid intake will help reduce your risk of developing kidney stones." B. "Increasing your intake of calcium-rich foods can prevent kidney stone formation." C. "Avoiding all fruits and vegetables can help prevent kidney stones." D. "Maintaining adequate fluid intake is essential to prevent kidney stones."

Correct Answer is D

Explanation

A. This statement is not correct. Adequate fluid intake is essential to help prevent kidney stones. Restricting fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.

C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.

D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.

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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

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

Correct Answer is B

Explanation

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

Correct Answer is D

Explanation

A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

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

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?

A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?

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

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A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

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