A nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi?

Eats a vegetarian diet with cheese 2 to 3 times a day.

Jogs more frequently than usual daily routine.

Drinks several bottles of carbonated water daily.

Experiences additional stress since adopting a child.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A vegetarian diet with cheese 2 to 3 times a day does not significantly increase the risk of kidney stones. While dairy products do contain calcium, which can contribute to stone formation, they also contain other compounds that help prevent stones. Furthermore, a vegetarian diet is typically high in fiber, which can also help prevent stone formation.

Choice B rationale

Jogging more frequently than usual daily routine does not increase the risk of kidney stones. In fact, regular exercise can help prevent kidney stones by keeping the urinary tract healthy and promoting regular urination.

Choice C rationale

Drinking several bottles of carbonated water daily can increase the risk of kidney stones. Carbonated water contains phosphoric acid, which can increase the acidity of the urine. This can promote the formation of kidney stones, especially in individuals who are already at risk.

Choice D rationale

Experiencing additional stress since adopting a child does not directly increase the risk of kidney stones. While stress can have many negative effects on health, there is no direct link between stress and kidney stone formation.

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Free Nursing Study Resources

Correct Answer is ["15 "]

Explanation

Step 1: Convert the client’s weight from pounds to kilograms. 1 kg = 2.2 lb, so 44 lb ÷ 2.2 = 20 kg.

Step 2: Calculate the total daily dose of phenobarbital. The doctor ordered 6 mg/kg/day, so 6 mg/kg/day × 20 kg = 120 mg/day.

Step 3: Divide the total daily dose into two equal doses, as it is to be given every 12 hours. So, 120 mg/day ÷ 2 = 60 mg/dose.

Step 4: Calculate the volume of phenobarbital elixir to administer per dose. The available phenobarbital elixir is 20 mg/5 mL, so (60 mg ÷ 20 mg) × 5 mL = 15 mL. The nurse should administer 15 mL of phenobarbital elixir per dose.

Correct Answer is ["2.5 "]

Explanation

The nurse should administer 2.5 tablets of prednisone. Here’s the calculation: Step 1: The total dosage required is 50 mg.

Step 2: Each tablet contains 20 mg of prednisone.

Step 3: So, the number of tablets required is 50 mg ÷ 20 mg/tablet = 2.5 tablets.

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A nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer phenobarbital 6 mg/kg/day PO divided in equal doses every 12 hr to a client who weighs 44 lb. If the available phenobarbital elixir is 20 mg/5 mL, how many mL should the nurse administer per dose?

Correct Answer is ["15 "]

Explanation

A nurse is preparing to administer 50 mg of prednisone PO to a client. If the available prednisone is 20 mg/tablet, how many tablets should the nurse administer?

Correct Answer is ["2.5 "]

Explanation

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