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

Answer and Explanation

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.

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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.

A. "ESWL is an invasive surgical procedure that requires a hospital stay." B. "You may experience some discomfort during the procedure, but it will be done under general anesthesia." C. "After the procedure, you will need to avoid all fluids for 24 hours." D. "ESWL uses shock waves to break up kidney stones, and you will need to stay still during the procedure."

Correct Answer is D

Explanation

A. ESWL is a non-invasive procedure, and it does not require a hospital stay. It is typically performed on an outpatient basis.

B. This is not entirely accurate. ESWL is a non-invasive procedure that does not require general anesthesia. Instead, the client may be given sedation or local anesthesia.

C. It is essential to maintain adequate hydration after ESWL to help pass the broken-up stone fragments. Avoiding all fluids for 24 hours is not recommended and may lead to dehydration.

D. This is the correct answer. ESWL uses shock waves to break up kidney stones, and the client will need to remain still during the procedure to ensure precise targeting of the stones. The procedure is usually painless, but some discomfort may be experienced during the process.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

Correct Answer is D

Explanation

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

Correct Answer is D

Explanation

A client with a history of kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?

A client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?