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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Extracorporeal shock wave lithotripsy (ESWL) is typically used for smaller stones that can be broken up into smaller fragments and passed more easily. It is not usually recommended for large stones.
B. This is the correct answer. Percutaneous nephrolithotomy (PCNL) is a procedure used to remove larger kidney stones. It involves making a small incision in the back and inserting a nephroscope to directly visualize and remove the stone.
C. Ureteroscopy with laser lithotripsy is used for stones in the ureter, not in the kidney itself.
D. Cystoscopy with stent placement is used for conditions involving the lower urinary tract, such as the urethra and bladder, and is not typically used to remove kidney stones.
Correct Answer is B
Explanation
A. This statement is not correct. Limiting intake of calcium is not necessary for the prevention of uric acid stones. In fact, low calcium intake can increase the risk of other types of stones.
B. 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 avoiding these foods is important in managing uric acid stones.
C. Increasing consumption of oxalate-rich foods like spinach is not relevant to preventing uric acid stones.
D. Reducing fluid intake is not recommended for preventing any type of kidney stone. Adequate fluid intake is essential for kidney health and preventing stone formation.
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