A client with a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?

"The primary risk factor for kidney stones is excessive water intake."

"Risk factors for kidney stones include a sedentary lifestyle and low dietary calcium intake."

"Family history, high protein diet, and dehydration are common risk factors for kidney stones."

"Kidney stones are mostly caused by consuming too many fruits and vegetables."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

A. This statement is not correct. Limiting calcium intake is not recommended for preventing calcium oxalate stones. In fact, adequate dietary calcium can help reduce the risk of stone formation.

B. This statement is not correct. Foods high in oxalate, such as spinach and nuts, should be limited to prevent calcium oxalate stones.

C. This statement is not correct. Fruits and vegetables are essential for overall health and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to calcium oxalate stone formation.

D. This is the correct answer. Reducing sodium intake can be beneficial for kidney health, as high sodium intake can increase calcium excretion in the urine and promote stone formation. Additionally, processed foods may contain high levels of sodium and should be limited.

A. "Increase your intake of dairy products to prevent stone formation." B. "Limit your consumption of high-phosphorus foods to reduce stone risk." C. "Avoid foods high in purines, such as organ meats and certain seafood." D. "Limit your fluid intake to prevent struvite stone formation."

Correct Answer is B

Explanation

A. This statement is not correct. Increasing dairy product intake may provide calcium, which is important for overall health, but it is not a specific dietary modification to prevent struvite stones.

B. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not struvite stones.

D. Limiting fluid intake is

not recommended for the prevention of struvite stones. Adequate fluid intake is essential in preventing stone formation.

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A client with a history of recurrent renal calculi asks the nurse, "What are the common risk factors for developing kidney stones?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

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 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?

A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?

A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?

A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by: