A nurse is providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

"You should avoid all dairy products to prevent future kidney stones."

"Increasing your dietary calcium intake may help prevent kidney stones."

"Reduce your fluid intake to decrease the risk of kidney stone formation."

"Drinking plenty of water and staying hydrated is essential for preventing kidney stones."

Answer and Explanation

The Correct Answer is D

A. Avoiding all dairy products is not a recommended prevention strategy for kidney stones. In fact, adequate dietary calcium may be beneficial for reducing the risk of certain types of stones.

B. Increasing dietary calcium intake, especially from food sources, may help prevent certain types of kidney stones, such as calcium oxalate stones.

C. Reducing fluid intake is not a recommended prevention strategy for kidney stones. Inadequate hydration can actually increase the risk of stone formation.

D. This is the correct answer. Drinking plenty of water and staying hydrated is one of the most effective ways to prevent kidney stones. Adequate hydration helps dilute urine and reduce the concentration of minerals that can lead to stone formation.

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Correct Answer is D

Explanation

A. ESWL is a non-invasive procedure, and it does not require a hospital stay. It is typically performed on an outpatient basis.

B. This is not entirely accurate. ESWL is a non-invasive procedure that does not require general anesthesia. Instead, the client may be given sedation or local anesthesia.

C. It is essential to maintain adequate hydration after ESWL to help pass the broken-up stone fragments. Avoiding all fluids for 24 hours is not recommended and may lead to dehydration.

D. This is the correct answer. ESWL uses shock waves to break up kidney stones, and the client will need to remain still during the procedure to ensure precise targeting of the stones. The procedure is usually painless, but some discomfort may be experienced during the process.

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 experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

Correct Answer is D

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 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 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 client asks the nurse, "How can I prevent the formation of kidney stones?" Which response by the nurse is most accurate?

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

A client is diagnosed with a large kidney stone that is not passing spontaneously. The nurse should anticipate that which procedure may be recommended to remove the stone?

A client is prescribed alpha-blockers as part of the management of renal calculi. The nurse explains that these medications can help with stone passage 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 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?