A nurse is caring for a client who has a new diagnosis of urolithiasis.
Which of the following should the nurse identify as an associated risk factor?
Family history.
BMI less than 25.
Hypocalcemia.
Diuretic use.
The Correct Answer is A
The correct answer is choice a. Family history.
Choice A rationale:
Family history is a well-known risk factor for urolithiasis. If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.
Choice B rationale:
A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis. In fact, obesity is more commonly linked to a higher risk of kidney stones.
Choice C rationale:
Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis. High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.
Choice D rationale:
Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic. Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Basal cell carcinoma often presents as a raised, flesh-colored lesion with pearly white borders. This is the most common type of skin cancer.
Choice B rationale:
Squamous cell carcinoma typically appears as a firm, red nodule or a flat lesion with a scaly, crusted surface, not a raised, flesh-colored lesion with pearly white borders.
Choice C rationale:
Malignant melanoma is usually a large brownish spot with darker speckles, not a raised, flesh-colored lesion with pearly white borders.
Choice D rationale:
Actinic keratosis appears as rough, scaly patches on sun-exposed areas of the skin, not a raised, flesh-colored lesion with pearly white borders.
Correct Answer is C
Explanation
Choice A rationale:
Obesity is a modifiable risk factor for stroke. Lifestyle changes can reduce this risk.
Choice B rationale:
History of hypertension is a modifiable risk factor. Blood pressure can be controlled with medication and lifestyle changes.
Choice C rationale:
Genetics is a nonmodifiable risk factor. If there is a family history of stroke, the risk of stroke can be higher.
Choice D rationale:
History of smoking is a modifiable risk factor. Quitting smoking can significantly reduce the risk of stroke.
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