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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?

A.

Family history.

B.

BMI less than 25.

C.

Hypocalcemia.

D.

Diuretic use.

Answer and Explanation

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.


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Related Questions

Correct Answer is B

Explanation

Choice A rationale:
Alteration in body image is a concern, but it’s not the priority. The priority is addressing the client’s physiological needs first.
Choice B rationale:
Impaired tissue perfusion is the priority nursing diagnosis. Varicose veins with ulcerations and edema indicate poor blood flow, which can lead to tissue damage if not addressed.
Choice C rationale:
Impaired skin integrity is a concern due to the ulcerations, but it’s secondary to impaired tissue perfusion.
Choice D rationale:
Alteration in activity tolerance may be present due to the feeling of heaviness, but it’s not the priority.

Correct Answer is B

Explanation

Choice A rationale:
Flexing her ankles is a safe action that promotes blood flow and prevents clot formation.
Choice B rationale:
Massaging her legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Elevating her feet improves venous return, reducing the risk of VTE.
Choice D rationale:
Ambulating soon after surgery promotes blood flow and prevents clot formation.

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