A nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?

A. Limiting fluid intake is not recommended to prevent kidney stones. Adequate hydration is essential to prevent stone formation. Dehydration can lead to a higher concentration of minerals in the urine, increasing the risk of stones.

B. Including more foods high in oxalate is not recommended to prevent kidney stones, especially if the client has a history of calcium oxalate stones. Limiting the intake of oxalate-rich foods is a preventive measure.

C. Avoiding all dairy products is not recommended to prevent kidney stones. In fact, adequate dietary calcium intake from food sources may help reduce the risk of certain types of stones, such as calcium oxalate stones.

D. This is the correct answer. Staying hydrated and drinking plenty of water throughout the day is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.

Questions

A. Diarrhea and abdominal cramping are not typically associated with kidney stone pain. These symptoms are more commonly seen in gastrointestinal disorders.

B. Painful and frequent urination may occur if the stone causes irritation in the bladder or urethra, but it is not a direct symptom of kidney stone pain.

C. Fatigue and generalized weakness are not specific symptoms of kidney stone pain. They may be associated with other medical conditions but are not directly related to renal calculus.

D. This is the correct answer. Nausea and vomiting are common symptoms that may accompany kidney stone pain, especially if the stone causes obstruction in the urinary tract. The pain and irritation can trigger a reflex that leads to nausea and vomiting.