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 ["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.

A. The medication should be stored in a well-lit area. B. The medication should be stored in a cool area. C. The total volume in a unit dose container is 100 mL. D. The unit dose container should be gently rolled before administration.

Correct Answer is D

Explanation

Choice A rationale

Storing the medication in a well-lit area is not necessary. Phenytoin oral suspension does not require light for storage.

Choice B rationale

While it’s important to store many medications in a cool area, phenytoin oral suspension does not specifically need to be stored in a cool area.

Choice C rationale

The total volume in a unit dose container is not typically 100 mL for phenytoin oral suspension. The volume can vary depending on the concentration and the specific product.

Choice D rationale

The unit dose container should indeed be gently rolled before administration. This is because phenytoin is an oral suspension, and suspensions consist of small drug particles dispersed throughout a liquid. Rolling the container helps ensure the drug particles are evenly distributed throughout the dose.

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

Correct Answer is ["58.06 "]

Explanation

A nurse is planning to instruct a caregiver on the use of phenytoin oral suspension. What information should the nurse include in the instruction?

Correct Answer is D

Explanation

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