A nurse is assessing a client with suspected renal calculi. The client reports experiencing sudden and severe pain in the right flank area that radiates to the groin. The nurse notes that the client is restless and unable to find a comfortable position. What type of renal calculi is most likely causing the client's symptoms?
Calcium oxalate stones
Uric acid stones
Struvite stones
C
The Correct Answer is B
A. Calcium oxalate stones may cause pain, but they do not typically radiate to the groin. They are more likely to cause localized pain in the back or side.
B. This is the correct answer. Uric acid stones can cause sudden and severe pain that radiates from the back to the groin. The pain is often described as colicky and is associated with restlessness.
C. Struvite stones are typically associated with urinary tract infections and may not cause the sudden and severe pain described in the question.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain.
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Correct Answer is D
Explanation
A. Excessive consumption of fruits and vegetables is not a primary cause of kidney stones. Some specific types of fruits and vegetables may contribute to stone formation, but it is not a general cause.
B. While genetic factors and family history can play a role in kidney stone formation, they are not the primary cause. The presence of minerals and salts in the urine is the main contributing factor.
C. An overactive bladder and frequent urination are not direct causes of kidney stone formation. They may be related to other urinary conditions but not to the formation of kidney stones.
D. This is the correct answer. Kidney stones are formed when certain minerals and salts in the urine form solid crystals that can clump together and grow into stones.
Correct Answer is B
Explanation
A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.
B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.
C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not calcium oxalate stones.
D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.
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