A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

Citrus fruits

Dairy products

Red meat

Leafy green vegetables

Answer and Explanation

The Correct Answer is D

A. Citrus fruits are generally not a concern for calcium oxalate stones. They are a good source of citrate, which may actually help prevent stone formation.

B. Dairy products are not specifically associated with calcium oxalate stones. However, high-calcium supplements might increase the risk, not dietary calcium from dairy products.

C. Red meat is not a significant concern for calcium oxalate stones. It is more associated with uric acid stones.

D. This is the correct answer. Leafy green vegetables are high in oxalates, which can contribute to calcium oxalate stone formation. Clients with calcium oxalate stones should limit their intake of these vegetables.

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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.

A. Reducing inflammation in the urinary tract B. Dissolving the stone in the kidney C. Relaxing the smooth muscle of the ureters D. Preventing bacterial growth in the urinary tract

Correct Answer is C

Explanation

A. Alpha-blockers do not directly reduce inflammation in the urinary tract. They primarily work by relaxing the smooth muscle of the ureters, which can help ease the passage of kidney stones through the urinary tract.

B. Alpha-blockers do not dissolve kidney stones. They assist with stone passage by relaxing the ureters.

C. This is the correct answer. Alpha-blockers are prescribed to relax the smooth muscle of the ureters, allowing the stone to pass more easily through the urinary tract.

D. Alpha-blockers do not have a direct effect on preventing bacterial growth in the urinary tract. They are not antibiotics.

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A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage by:

Correct Answer is C

Explanation

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