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 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 C
Explanation
A. Uric acid stones may cause pain, but they do not typically present with costovertebral angle tenderness. Uric acid stones are more likely to be associated with gout and hyperuricemia.
B. Calcium oxalate stones are common and can cause pain, but they do not typically cause costovertebral angle tenderness. They are more likely to cause localized pain in the back or side.
C. This is the correct answer. Struvite stones, also known as infection stones, can cause severe pain that radiates to the back and lower abdomen. They are often associated with urinary tract infections, and the presence of an infection can lead to costovertebral angle tenderness.
D. Cystine stones are rare and are more likely to cause chronic, dull pain rather than sudden and severe pain with tenderness.
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