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 C

Explanation

A. Extracorporeal shock wave lithotripsy (ESWL) does not typically require general anesthesia. It is usually done under sedation or with the use of local anesthesia.

B. The procedure does not involve the insertion of a scope into the urinary tract. ESWL is a non-invasive procedure that uses shock waves to break up the stone from outside the body.

C. This is the correct answer. ESWL involves the use of high-energy shock waves that are focused on the stone to break it up into smaller fragments. The fragments are then passed out of the body through the urine.

D. A urinary catheter is not typically required after ESWL. The client may be encouraged to drink plenty of fluids to help flush out the stone fragments, but a catheter is not usually needed.

Questions

A. "Yes, vitamin C supplements can help reduce the risk of stone formation." B. "No, vitamin C supplements may increase the risk of calcium oxalate stones." C. "You can take vitamin C supplements, but only in large doses." D. "Vitamin C supplements have no effect on kidney stone formation."

Correct Answer is B

Explanation

A. This statement is not correct. Vitamin C supplements may increase the risk of calcium oxalate stones in some individuals.

B. This is the correct answer. High doses of vitamin C can be metabolized into oxalate in the body

, which can contribute to the formation of calcium oxalate stones. For individuals with a history of calcium oxalate stones, it is best to limit vitamin C supplements.

C. Taking vitamin C supplements in large doses is not recommended, especially for individuals prone to kidney stones.

D. Vitamin C supplements do have an effect on kidney stone formation, particularly for those at risk of calcium oxalate stones.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with renal calculus is scheduled for extracorporeal shock wave lithotripsy (ESWL). What information should the nurse provide to the client about this procedure?

Correct Answer is C

Explanation

A client with a history of calcium oxalate stones asks the nurse, "Can I continue taking vitamin C supplements?" Which response by the nurse is appropriate?

Correct Answer is B

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?

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?

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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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