A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the 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 reoccurrence of renal calculi?
Eat a diet high in calcium oxalate-rich foods.
Drink plenty of fluids during the day.
Eat a diet high in purine-rich foods.
Continue to take your prescribed gout medication.
The Correct Answer is B
A. Eat a diet high in calcium oxalate-rich foods: This is incorrect. A diet high in oxalate can promote stone formation, so it should be avoided.
B. Drink plenty of fluids during the day. Adequate hydration is the most important strategy to prevent the formation of renal calculi, especially in hot climates where fluid loss through sweat increases the risk.
C. Eat a diet high in purine-rich foods: This is incorrect. Purine-rich foods can increase uric acid levels and contribute to uric acid stone formation, especially in clients with gout.
D. Continue to take your prescribed gout medication: While this is important for managing gout, it does not directly prevent renal calculi, so it is not the most relevant intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Amoxicillin, Clarithromycin, and Omeprazole: This is the most common combination used in triple therapy for H. pylori eradication. It includes two antibiotics (Amoxicillin and Clarithromycin) to eliminate the bacteria, and a proton pump inhibitor (Omeprazole) to reduce stomach acid and promote healing.
B. Ciprofloxacin, Metronidazole, and Ranitidine: Ciprofloxacin and Metronidazole are not typically part of the standard regimen for H. pylori infection. Ranitidine is an H2-receptor antagonist, not commonly used in current treatment protocols for H. pylori.
C. Erythromycin, Amoxicillin, and Famotidine: Erythromycin is not part of the standard H. pylori treatment regimen, and Famotidine is an H2-receptor antagonist, which is less effective than proton pump inhibitors for H. pylori.
D. Metronidazole, Tetracycline, and Bismuth subsalicylate: This combination is used in quadruple therapy for H. pylori infections, but it is not the most common initial treatment.
Correct Answer is ["A","B","E"]
Explanation
A. "I will try not to gain weight." Weight gain can increase pressure on the diaphragm and abdomen, worsening symptoms of hiatal hernia. Maintaining a healthy weight helps reduce this pressure.
B. “I will sleep with the head of my bed elevated." Elevating the head of the bed helps prevent stomach acid from refluxing into the esophagus while lying down, a common issue in both hiatal hernia and GERD.
C. "I will drink less fluid": Reducing fluid intake is not a recommended strategy for managing hiatal hernia symptoms. Fluid is essential for digestion and overall health.
D. "I will lie down for one half hour after meals": Lying down after meals can worsen reflux symptoms because gravity is no longer helping keep stomach contents in place. Patients should remain upright after eating.
E. "I will consume less caffeine and spicy foods." Caffeine and spicy foods can increase acid production and irritate the esophagus, worsening symptoms of hiatal hernia.
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