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: The end of a menstrual period is not relevant to the intravenous pyelogram procedure.
Choice B reason: An allergy to shellfish is important to report as the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.
Choice C reason: Drinking fluids is generally encouraged to prevent kidney stones and is not a concern for the provider.
Choice D reason: Painful and red-tinged urination is a symptom of kidney stones but does not need to be reported unless it is a new or worsening symptom.
Correct Answer is A
Explanation
Choice A reason: Ice cream is considered a fluid in dietary terms, so not counting it as part of fluid intake shows a misunderstanding.
Choice B reason: Making a list of favorite beverages does not demonstrate understanding of fluid restrictions.
Choice C reason: Putting beverages in large containers does not reffect an understanding of fluid restrictions and could lead to overconsumption.
Choice D reason: Consuming most fluid during the evening could lead to fluid overload overnight, which is not advisable.
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