A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

"There is nothing you can do to prevent kidney stones if you have a family history."

"You can prevent kidney stones by avoiding all calcium-rich foods and beverages."

"Maintaining a healthy weight and drinking plenty of water can help reduce the risk of kidney stones."

"If you develop kidney stones, surgery is the only effective treatment option."

Answer and Explanation

The Correct Answer is C

A. This is not entirely accurate. While family history can be a risk factor for kidney stones, there are still preventive measures that individuals can take to reduce their risk.

B. Avoiding all calcium-rich foods and beverages is not recommended for preventing kidney stones. In fact, adequate dietary calcium from food sources is generally beneficial for kidney health and may help reduce the risk of certain types of stones.

C. This is the correct answer. Maintaining a healthy weight and drinking plenty of water are important lifestyle factors that can help reduce the risk of kidney stones. Adequate hydration helps prevent the concentration of minerals in the urine, reducing the likelihood of stone formation.

D. Surgery is not the only treatment option for kidney stones. Depending on the size and type of stone, other treatment options, such as lithotripsy or medication, may be considered.

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Correct Answer is B

Explanation

A. This statement is not correct. Potassium citrate does not dissolve existing kidney stones. It is used to prevent the formation of certain types of stones, particularly calcium oxalate stones.

B. This is the correct answer. Potassium citrate is an alkalizing agent that helps reduce the acidity of urine. By making the urine less acidic, it can help prevent the formation of certain types of stones, such as uric acid stones.

C. Potassium citrate does not increase calcium levels in the body. It may help prevent the formation of calcium oxalate stones, but it does not affect overall calcium levels.

D. Potassium citrate does not decrease urine output. It primarily works to reduce urine acidity and prevent stone formation.

A. "Avoid foods high in oxalate, such as spinach and nuts." B. "Limit your intake of purine-rich foods like organ meats and shellfish." C. "Reduce your consumption of dairy products to lower calcium intake." D. "Limit your intake of high-phosphorus foods like red meat and dairy."

Correct Answer is D

Explanation

A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.

B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.

C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.

D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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A nurse is providing education to a client who has a family history of kidney stones. The client asks, "Can I do anything to prevent getting kidney stones?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

Correct Answer is B

Explanation

A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A client with a history of calcium oxalate kidney stones asks the nurse, "What dietary modifications can I make to reduce the risk of stone recurrence?" What is the nurse's best response?

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 may accompany kidney stone pain if the stone causes obstruction in the urinary tract?

A client with a history of kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

A nurse is providing education to a client who has been diagnosed with renal calculus. The client asks, "What causes kidney stones?" What is the nurse's best response?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

A client with a history of kidney stones is prescribed a thiazide diuretic. The nurse should monitor the client's laboratory values for which electrolyte imbalance?

A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?