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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Diagnosis is the identification of a disease or condition, which is not directly related to reviewing kidney function test data.
Choice B reason: Assessment involves collecting and analyzing data, which is what the nurse is doing when reviewing kidney function test results.
Choice C reason: Implementation refers to carrying out interventions, not reviewing test data.
Choice D reason: Outcomes identification involves setting goals and expected outcomes, not reviewing test data.
Correct Answer is C
Explanation
Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal
dialysis.
Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.
Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients
receiving peritoneal dialysis.
Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.
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