A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
Tell the client to expect a decrease in urine output.
Encourage the client to drink 3 L of fluids per day.
Provide the client with a high protein diet.
Maintain the client on bed rest.
The Correct Answer is B
Choice A Reason: Telling the client to expect a decrease in urine output is not an appropriate intervention for a client who has urolithiasis, as it may indicate dehydration, obstruction, or infection.
Choice B Reason: Encouraging the client to drink 3 L of fluids per day is an appropriate intervention for a client who has urolithiasis, as it helps to flush out stones, prevent new stone formation, and reduce urinary concentration.
Choice C Reason: Providing the client with a high protein diet is not an appropriate intervention for a client who has urolithiasis, as it may increase uric acid and calcium excretion and promote stone formation.
Choice D Reason: Maintaining the client on bed rest is not an appropriate intervention for a client who has urolithiasis, as it may decrease renal perfusion and increase urinary stasis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: Black cohosh is not an herbal supplement that can help prevent UTIs, but it may be used for menopausal symptoms such as hot flashes, night sweats, or mood swings.
Choice B Reason: Cranberry juice is an herbal supplement that can help prevent UTIs, as it may inhibit bacterial adhesion to the urinary tract and lower urine pH.
Choice C Reason: Saw palmetto is not an herbal supplement that can help prevent UTIs, but it may be used for benign prostatic hyperplasia (BPH) symptoms such as urinary frequency, urgency, or hesitancy.
Choice D Reason: Echinacea is not an herbal supplement that can help prevent UTIs, but it may be used for immune system support or wound healing.
Correct Answer is D
Explanation
Choice A Reason: Ketoacidosis is not likely to be the complication that the nurse should suspect, as it is caused by high blood glucose levels and results in symptoms such as nausea, vomiting, abdominal pain, fruity breath, and deep breathing.
Choice B Reason: Hyperglycemia is not likely to be the complication that the nurse should suspect, as it is caused by high blood glucose levels and results in symptoms such as thirst, polyuria, blurred vision, dry skin, and fatigue.
Choice C Reason: Nephropathy is not likely to be the complication that the nurse should suspect, as it is a chronic kidney disease that develops over time due to diabetes and results in symptoms such as proteinuria, edema, hypertension, and anemia.
Choice D Reason: Hypoglycemia is likely to be the complication that the nurse should suspect, as it is caused by low blood glucose levels and results in symptoms such as sweating, tachycardia, lightheadedness, shakiness, hunger, and confusion.
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