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 C

Explanation

Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the

treatment of choice due to this reason alone.

Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.

Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.

Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.

A. "You will need to start the collection time with your first urine specimen of the day." B. "You will need to collect all of your urine for the next 12 hours." C. "You will need to avoid rigorous exercise during the test." D. "You will need to store the urine container in a dark location."

Correct Answer is C

Explanation

The correct answer is choice C: "You will need to avoid rigorous exercise during the test."

Rationale:

Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.

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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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