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 C

Explanation

A. Thiazide diuretics can lead to decreased calcium excretion in the urine, which may be beneficial for some clients with kidney stones. They are used to reduce the excretion of calcium and prevent the formation of calcium-based stones.

B. Hypernatremia is not directly related to thiazide diuretic use. Thiazide diuretics primarily affect sodium excretion in the urine, but they do not typically cause hypernatremia.

C. This is the correct answer. Thiazide diuretics can cause hypokalemia (low potassium levels) as they increase potassium excretion in the urine.

D. Thiazide diuretics do not cause hypermagnesemia. They do not have a significant effect on magnesium excretion in the urine.

Questions

A. Postoperative urinary retention B. Hyperkalemia C. Hypertension D. Hypoglycemia

Correct Answer is A

Explanation

A. This is the correct answer. After a ureteroscopy, the client may experience postoperative urinary retention due to swelling or irritation in the urethra or bladder. The nurse should monitor for signs of urinary retention and take appropriate measures to address it.

B. Hyperkalemia is not directly related to ureteroscopy. It may occur in certain medical conditions but is not a common complication of this procedure.

C. Hypertension is not directly related to ureteroscopy. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of the procedure itself.

D. Hypoglycemia is not related to ureteroscopy. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.

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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 a thiazide diuretic. The nurse should monitor the client's laboratory values for which electrolyte imbalance?

Correct Answer is C

Explanation

A nurse is caring for a client who had a kidney stone removed through ureteroscopy. The nurse should closely monitor the client for which potential complication?

Correct Answer is A

Explanation

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

A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

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?

A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

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

A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?