A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?
"Limit your intake of foods high in calcium, such as dairy products."
"Avoid purine-rich foods like organ meats and certain seafood."
"Increase your consumption of spinach and other oxalate-rich foods."
"Reduce your fluid intake to prevent stone formation."
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A. This is the correct answer. After percutaneous nephrolithotomy (PCNL), the client may experience urinary retention due to swelling and irritation around the bladder or urethra from the procedure. The nurse should monitor the client for signs of urinary retention, such as difficulty urinating or a distended bladder, and take appropriate measures to relieve the obstruction.
B. Hyperkalemia is not directly related to PCNL. It may occur in certain medical conditions but is not a common complication of this procedure.
C. Hypoglycemia is not related to PCNL. It is a condition related to low blood sugar levels and is not a typical complication of kidney stone removal.
D. Hypertension is not directly related to PCNL. While some clients with hypertension may be at increased risk for kidney stones, hypertension is not a common complication of PCNL itself.
Questions
Correct Answer is B
Explanation
A. Sharp, stabbing pain in the lower abdomen is not typically associated with kidney stones. Kidney stone pain is usually felt in the back and flank regions of the body.
B. This is the correct answer. The pain caused by kidney stones is often described as a dull ache in the upper back and flank region, usually on the affected side where the kidney is located.
C. Burning sensation during urination is more commonly associated with urinary tract infections or inflammation of the urethra, not kidney stones.
D. Constant, generalized abdominal discomfort is not a specific symptom of kidney stones. Kidney stone pain is usually more localized to the back and flank regions.
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