A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:
Increasing the excretion of uric acid
Reducing the excretion of calcium in the urine
Increasing the pH of the urine
Dissolving existing kidney stones
The Correct Answer is B
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.
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. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.
B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.
C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.
D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.