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.

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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Correct Answer is D

Explanation

Choice A rationale:
Aspirin is not typically recommended for gout due to its potential to elevate uric acid levels.
Choice B rationale:
A high-purine diet can exacerbate gout symptoms, so this statement is incorrect.
Choice C rationale:
Limiting fluid intake can lead to dehydration, which can trigger a gout attack.
Choice D rationale:
Alcohol, especially beer, can increase uric acid levels and trigger gout attacks, so limiting alcohol intake is recommended.

A. WBC 5,000/mm³. B. Platelets 150,000/mm³. C. O Positive Western blot test. D. CD4-T-cell count 180 cells/mm.

Correct Answer is D

Explanation

Choice A rationale:
A WBC count of 5,000/mm³ is within the normal range (4,500 to 11,000 cells/mm³) and is not a priority.
Choice B rationale:
A platelet count of 150,000/mm³ is within the normal range (150,000 to 450,000/mm³) and is not a priority.
Choice C rationale:
A positive Western blot test confirms HIV infection, but it is not a priority in this case.
Choice D rationale:
A CD4-T-cell count of 180 cells/mm³ is below the normal range (500 to 1,500 cells/mm³), indicating severe immune system damage in a client with HIV. This is the nurse’s priority.

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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?

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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?