A nurse is caring for a client who has an admited diagnosis of renal calculi and a medical history of hypertension and gout. The client works 6 days a week outside in temperatures between 32.2°C to 37.8°C (90°F to 100°F). Which of the following should the nurse tell the client to prevent a recurrence of renal calculi?

Eat a diet high in calcium oxalate-rich foods.

Continue to take your prescribed gout medication.

Drink plenty of fluids during the day.

Eat a diet high in purine-rich foods.

Answer and Explanation

The Correct Answer is C

Choice A reason: A diet high in calcium oxalate-rich foods should be avoided as it can contribute to the formation of calcium oxalate stones.

Choice B reason: Continuing prescribed gout medication is important, but it does not directly prevent the formation of renal calculi unless the medication is specifically for reducing uric acid levels.

Choice C reason: Drinking plenty of fluids, especially water, is one of the most effective ways to prevent the recurrence of renal calculi by diluting the urine and reducing the concentration of stone-forming minerals.

Choice D reason: A diet high in purine-rich foods can increase the risk of uric acid stones and should be avoided, especially in patients with gout and a history of renal calculi.

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Correct Answer is A

Explanation

Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk

factor for the development of calcium stones.

Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.

Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.

Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.

A. "If you take too many showers, you are more susceptible to getting a UTI because you are washing o? the protective bacteria." B. "As a female, you have a shorter urethra, creating an easier way for bacteria to invade your bladder." C. "As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra." D. "At your age, you have more sexual intercourse than older females, making you more likely to get a UTI."

Correct Answer is B

Explanation

Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.

Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.

Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.

Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?