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?

"Increasing fluid intake can help dissolve the stone and eliminate it through your urine."

"Drinking more fluids will help to reduce the pain caused by the kidney stone."

"Fluids can help prevent the formation of new stones in your kidneys."

"Higher fluid intake will reduce the risk of infection associated with kidney stones."

Answer and Explanation

The Correct Answer is C

A. While increasing fluid intake can help with the passage of small stones, it is not likely to dissolve larger stones. The primary benefit of increased fluid intake is to help prevent the formation of new stones.

B. Drinking more fluids may help alleviate some discomfort, but the primary goal is not pain reduction.

C. This is the correct answer. Adequate fluid intake can help prevent the formation of new kidney stones by diluting the urine and reducing the concentration of minerals that can contribute to stone formation.

D. While adequate fluid intake can help reduce the risk of urinary tract infections, it is not the primary reason for recommending increased fluid intake in clients with kidney stones.

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Correct Answer is C

Explanation

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.

A. "Avoid foods high in oxalate, such as spinach and nuts." B. "Limit your intake of purine-rich foods like organ meats and shellfish." C. "Reduce your consumption of dairy products to lower calcium intake." D. "Limit your intake of high-phosphorus foods like red meat and dairy."

Correct Answer is D

Explanation

A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.

B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.

C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.

D. 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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

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

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A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

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