A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?
Limit fluid intake to 1 liter per day
Decrease dietary fiber intake
Reduce calcium intake from all sources
Increase citric acid intake
The Correct Answer is D
A. Limiting fluid intake to 1 liter per day is not recommended to prevent kidney stone formation. Adequate hydration is essential to
help prevent stone formation, as it helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.
B. Decreasing dietary fiber intake is not a preventive measure for kidney stones. In fact, increasing dietary fiber intake can be beneficial for overall health.
C. Reducing calcium intake from all sources is not recommended to prevent kidney stones. In some cases, reducing dietary calcium intake can actually increase the risk of certain types of kidney stones.
D. This is the correct answer. Increasing citric acid intake can help prevent certain types of kidney stones, such as calcium oxalate stones. Citric acid helps to bind calcium in the urine, reducing the risk of stone formation. Citric acid can be found in citrus fruits and juices, and the nurse may advise the client to include more of these foods in their diet.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Kidney stone pain is often described as colicky, which means it comes and goes in waves of severe pain. The pain can be intense and cramp-like, causing the client to writhe or be restless.
B. Gnawing pain is not typically associated with kidney stones. Gnawing pain is often described as a persistent, dull ache that can be more chronic in nature.
C. Stabbing pain is sharp and localized and is not typically used to describe kidney stone pain.
D. Numbing pain refers to a loss of sensation, which is not characteristic of kidney stone pain.
Correct Answer is B
Explanation
A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.
B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.
C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.
D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.
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