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. 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.

A. Postoperative urinary retention B. Hyperkalemia C. Hypertension D. Hypoglycemia

Correct Answer is A

Explanation

A. This is the correct answer. After a ureteroscopy, the client may experience postoperative urinary retention due to swelling or irritation in the urethra or bladder. The nurse should monitor for signs of urinary retention and take appropriate measures to address it.

B. Hyperkalemia is not directly related to ureteroscopy. It may occur in certain medical conditions but is not a common complication of this procedure.

C. Hypertension is not directly related to ureteroscopy. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of the procedure itself.

D. Hypoglycemia is not related to ureteroscopy. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.

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

Correct Answer is D

Explanation

A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?

Correct Answer is A

Explanation

A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

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 with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

A nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?

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?

A client with renal calculi asks the nurse about the most common symptom of kidney stones. What is the nurse's best response?

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?