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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Correct Answer is D

Explanation

The correct answer is choice D. Regular insulin 35 units subcutaneously 30 minutes before meals.

Choice A rationale:

Desvenlafaxine 50 mg PO daily is a standard dosage for this antidepressant medication and does not typically require clarification unless there are specific patient concerns or contraindications.

Choice B rationale:

Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain, is an appropriate prescription. However, it is important to monitor for potential side effects, especially with prolonged use.

Choice C rationale:

Oxycodone 10 mg PO every 4 hours as needed for severe pain is a common prescription for managing severe pain. The nurse should ensure the patient is monitored for signs of opioid misuse or adverse effects.

Choice D rationale:

Regular insulin 35 units subcutaneously 30 minutes before meals is an unusually high dose and could lead to hypoglycemia. This prescription should be clarified with the provider to ensure it is accurate and safe for the patient.

Correct Answer is ["58.06 "]

Explanation

The client’s weight is 58.06 kg. Here’s the calculation: Step 1: The client’s weight is 128 lb. Step 2: 1 lb is equivalent to 0.453592 kg.

Step 3: So, the client’s weight in kg is 128 lb × 0.453592 kg/lb = 58.06 kg.

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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 reviewing new prescriptions for a newly admitted patient. Which of the following prescriptions should the nurse seek further clarification from the provider?

Correct Answer is D

Explanation

A nurse is caring for a client who weighs 128 lb. What is the client's weight in kg?

Correct Answer is ["58.06 "]

Explanation

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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?

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