A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Take 3,000 mg of vitamin C daily.

Drink 3 L of fluid every day.

Eat 12 oz of animal protein daily.

Restrict calcium intake to one serving per day.

Answer and Explanation

The Correct Answer is B

Choice A reason: Taking 3,000 mg of vitamin C daily is not recommended as it may increase the risk of calcium oxalate stones due to possible conversion of vitamin C to oxalate.

Choice B reason: Drinking 3 L of fluid every day is advised to prevent kidney stones by diluting the urine and reducing the concentration of stone-forming substances.

Choice C reason: Eating 12 oz of animal protein daily is excessive and can increase the risk of kidney stones due to higher excretion of calcium and oxalate.

Choice D reason: Restricting calcium intake to one serving per day is not recommended as a normal calcium intake is necessary to bind oxalate in the gut and reduce oxalate absorption.

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Correct Answer is B

Explanation

Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.

Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.

Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.

Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.

A. Renal failure B. Low-protein diet C. Dehydration D. Syndrome of inappropriate antidiuretic hormone (SIADH)

Correct Answer is C

Explanation

Choice A reason: Renal failure is typically associated with abnormal creatinine and BUN levels, which are not

indicated in the given lab values.

Choice B reason: A low-protein diet is not directly indicated by the lab values provided and does not typically result in

collapse after exertion.

Choice C reason: Dehydration is consistent with the client's history of collapsing after playing football on a hot day

and is supported by the elevated sodium level.

Choice D reason: SIADH usually presents with low sodium levels due to dilution, which is not the case here.

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A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

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