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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Atorvastatin: Atorvastatin is a statin used to manage cholesterol levels. It is generally safe for use in patients with CKD.
B. Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to manage hypertension and protect the kidneys in diabetic nephropathy. It can be beneficial in CKD patients.
C. Vancomycin: Vancomycin is an antibiotic known to be nephrotoxic, especially in patients with compromised kidney function. It should be used with caution or avoided in patients with CKD.
D. Aspirin: While aspirin can have adverse effects on the kidneys at high doses, its nephrotoxic potential is lower than that of vancomycin. In low doses, aspirin is commonly used for cardiovascular protection, even in patients with CKD.
Correct Answer is A
Explanation
A. Administer a proton pump inhibitor (PPI) as prescribed to decrease gastric acid production: Proton pump inhibitors (PPIs) are a cornerstone of therapy for peptic ulcer disease as they effectively reduce gastric acid production, which helps the ulcer heal and relieves symptoms.
B. Provide a diet high in fiber and low in fat to promote gastrointestinal health: A high-fiber diet is not specifically indicated for PUD. While diet modifications may help, managing gastric acid production and avoiding irritants is more critical.
C. Encourage the patient to eat small, frequent meals to prevent the secretion of gastric acid: Although small, frequent meals may help some patients, they are not as effective in managing PUD compared to PPIs. Additionally, frequent eating can stimulate gastric acid production in some cases.
D. Instruct the patient to increase the intake of dairy products to help neutralize stomach acid:
Dairy products can initially neutralize stomach acid, but they can also stimulate further acid production, which may worsen symptoms in the long term. This is not recommended for managing PUD.
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