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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Smoking cessation is important for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

B. Increased alcohol consumption is not recommended as a preventive measure for kidney stones. In fact, excessive alcohol intake can lead to dehydration, which is a risk factor for stone formation.

C. Regular exercise can be beneficial for overall health, but it is not a primary lifestyle factor related to kidney stone formation.

D. This is the correct answer. A high sodium diet can increase the excretion of calcium in the urine, leading to a higher risk of calcium-based kidney stones. Reducing sodium intake can help prevent stone formation.

A. "Limit your intake of fluids to reduce the risk of kidney stone formation." B. "Include more foods high in oxalate, such as spinach and nuts, in your diet." C. "Avoid all dairy products to prevent the formation of kidney stones." D. "Stay hydrated and drink plenty of water throughout the day."

Correct Answer is D

Explanation

A. Limiting fluid intake is not recommended to prevent kidney stones. Adequate hydration is essential to prevent stone formation. Dehydration can lead to a higher concentration of minerals in the urine, increasing the risk of stones.

B. Including more foods high in oxalate is not recommended to prevent kidney stones, especially if the client has a history of calcium oxalate stones. Limiting the intake of oxalate-rich foods is a preventive measure.

C. Avoiding all dairy products is not recommended to prevent kidney stones. In fact, adequate dietary calcium intake from food sources may help reduce the risk of certain types of stones, such as calcium oxalate stones.

D. This is the correct answer. Staying hydrated and drinking plenty of water throughout the day 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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A nurse is providing education to a client with a history of uric acid stones. Which dietary recommendation should the nurse include?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with a history of kidney stones asks the nurse, "What can I do to prevent future kidney stones?" What is the nurse's best response?

Correct Answer is D

Explanation

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?

A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

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 nurse is assessing a client with suspected renal calculus. Which of the following symptoms is most indicative of kidney stone pain?

A client comes to the emergency room complaining of sudden, excruciating pain in the lower back and side. The nurse suspects renal calculus. Which term best describes this type of pain?

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 with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A nurse is caring for a client who had a kidney stone removed through percutaneous nephrolithotomy (PCNL). The nurse should closely monitor the client for which potential complication?