A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?
"Avoid foods high in oxalate, such as spinach and nuts."
"Limit your intake of purine-rich foods like organ meats and shellfish."
"Reduce your consumption of dairy products to lower calcium intake."
"Limit your intake of high-phosphorus foods like red meat and dairy."
The Correct Answer is D
A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.
B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.
C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.
D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fever and chills are more commonly associated with a urinary tract infection, which can sometimes be a complication of kidney stones. However, the severe pain described is more likely related to the presence of the stone itself.
B. This is the correct answer. Blood in the urine, also known as hematuria, is a common symptom of kidney stones. As the stone moves through the urinary tract, it may cause irritation and small blood vessels may be damaged, resulting in blood in the urine.
C. Difficulty starting the urine stream is not a specific symptom of kidney stones. It may be seen in other urinary conditions but is not typically associated with stones.
D. The frequent urge to urinate may be experienced if the stone causes irritation in the bladder, but it is not the most common symptom associated with kidney stones.
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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