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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement is not correct. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.
B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.
C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.
D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.
Correct Answer is B
Explanation
A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.
B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.
C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.
D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.
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