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. This is not the correct answer. Renal calculi are not bacterial infections but rather solid masses that form from mineral and acid salts in the kidneys.
B. This is the correct answer. Renal calculi, commonly known as kidney stones, are solid masses formed from mineral and acid salts that accumulate in the kidneys.
C. Renal calculi are not benign tumors. They are distinct from tumors and do not have the same characteristics.
D. Renal calculi are not blood clots. Blood clots can block the urinary tract, but they are not the same as kidney stones.
Correct Answer is D
Explanation
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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