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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Step 1: The total amount of amantadine required per dose is 150 mg.
Step 2: Each 5 mL of syrup contains 50 mg of amantadine.
Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of syrup. So, (150 mg ÷ 50 mg/5 mL).
Step 4: The result is 15 mL.
So, the nurse should administer 15 mL per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is C
Explanation
Choice A reason: Flatened neck veins would suggest dehydration rather than fluid overload.
Choice B reason: The return of skin to previous position when pinched indicates good skin turgor, not fluid overload.
Choice C reason: A significant weight gain in a short period, such as 5 lb since yesterday, is a classic sign of fluid overload.
Choice D reason: An oxygen saturation of 93% does not necessarily indicate fluid overload.
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