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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.
B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.
C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.
D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.
Correct Answer is D
Explanation
A. Avoiding all dairy products is not a recommended prevention strategy for kidney stones. In fact, adequate dietary calcium may be beneficial for reducing the risk of certain types of stones.
B. Increasing dietary calcium intake, especially from food sources, may help prevent certain types of kidney stones, such as calcium oxalate stones.
C. Reducing fluid intake is not a recommended prevention strategy for kidney stones. Inadequate hydration can actually increase the risk of stone formation.
D. This is the correct answer. Drinking plenty of water and staying hydrated is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.
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