A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?

"Renal calculi are bacterial infections in the kidneys."

"Renal calculi are kidney stones made of mineral and acid salts."

"Renal calculi are benign tumors that form in the kidneys."

"Renal calculi are blood clots that block the urinary tract."

Answer and Explanation

The Correct Answer is B

A. This is not the correct answer. Renal calculi are not bacterial infections but rather solid masses that form from mineral and acid salts in the kidneys.

B. This is the correct answer. Renal calculi, commonly known as kidney stones, are solid masses formed from mineral and acid salts that accumulate in the kidneys.

C. Renal calculi are not benign tumors. They are distinct from tumors and do not have the same characteristics.

D. Renal calculi are not blood clots. Blood clots can block the urinary tract, but they are not the same as kidney stones.

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Correct Answer is C

Explanation

A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.

B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.

C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.

D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.

Questions

A. Reducing calcium intake from dairy products B. Increasing consumption of red meat and shellfish C. Limiting purine-rich foods such as organ meats and certain sea food D. Increasing intake of oxalate-rich foods like spinach and nuts

Correct Answer is C

Explanation

A. Reducing calcium intake is not typically recommended for uric acid stones. In fact, low calcium intake can increase the risk of other types of kidney stones.

B. Increasing consumption of red meat and shellfish is not recommended for uric acid stones. These foods are high in purines, which can increase uric acid levels in the body.

C. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so limiting these foods is important in managing uric acid stones.

D. Increasing intake of oxalate-rich foods is not specifically relevant to uric acid stones. Oxalate-rich foods are associated with calcium oxalate stones, not uric acid stones.

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A nurse is providing education to a client about renal calculi. The client asks, "What are renal calculi?" What is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

Correct Answer is C

Explanation

A client has been diagnosed with uric acid stones. The nurse should recommend dietary modifications that include:

Correct Answer is C

Explanation

A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?

A nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

A nurse is providing education to a client who has been diagnosed with renal calculus. Which lifestyle factor is the nurse most likely to address to reduce the risk of kidney stones?

A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

A client with a small renal calculus is advised by the nurse to increase fluid intake. The client asks, "Why is this important?" Which response by the nurse is most accurate?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

A nurse is caring for a client with a history of recurrent kidney stones. Which of the following instructions should the nurse include in the client's discharge teaching to help prevent stone formation?

A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?