A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

"I should drink plenty of water to help flush out any stone fragments."

"I will avoid strenuous activities for a few days after the procedure."

"It's normal to have some blood in my urine for a short time after the surgery."

"I can resume my regular diet immediately after the procedure."

Answer and Explanation

The Correct Answer is D

A. This is a correct statement. Drinking plenty of water is important to help flush out any stone fragments that may have resulted from the procedure.

B. This is a correct statement. Strenuous activities should be avoided for a few days after the procedure to allow for proper healing.

C. This is a correct statement. It is common to have some blood in the urine for a short time after ureteroscopy due to irritation and manipulation of the urinary tract during the procedure.

D. This statement is not correct. After the procedure, the client may be advised to follow a specific diet that is low in certain minerals (such as oxalate and calcium) that can contribute to stone formation. The nurse should provide specific dietary guidelines and restrictions to the client.

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Correct Answer is D

Explanation

A. This statement is not correct. Limiting calcium intake is not recommended for preventing calcium oxalate stones. In fact, adequate dietary calcium can help reduce the risk of stone formation.

B. This statement is not correct. Foods high in oxalate, such as spinach and nuts, should be limited to prevent calcium oxalate stones.

C. This statement is not correct. Fruits and vegetables are essential for overall health and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to calcium oxalate stone formation.

D. This is the correct answer. Reducing sodium intake can be beneficial for kidney health, as high sodium intake can increase calcium excretion in the urine and promote stone formation. Additionally, processed foods may contain high levels of sodium and should be limited.

A. Increasing the excretion of uric acid B. Reducing the excretion of calcium in the urine C. Increasing the pH of the urine D. Dissolving existing kidney stones

Correct Answer is B

Explanation

A. Thiazide diuretics do not directly increase the excretion of uric acid. They are primarily used to reduce calcium excretion and prevent the formation of calcium-based stones.

B. This is the correct answer. Thiazide diuretics help reduce the excretion of calcium in the urine, which can be beneficial in preventing the formation of certain types of kidney stones, particularly calcium oxalate stones.

C. Thiazide diuretics do not directly increase the pH of the urine. They primarily reduce calcium excretion.

D. Thiazide diuretics do not dissolve existing kidney stones. They are used to prevent stone formation, not to treat existing stones.

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A nurse is providing postoperative care instructions to a client who underwent ureteroscopy for the removal of a kidney stone. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge education to a client who had a calcium oxalate stone. Which dietary modification should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

A client with recurrent kidney stones is prescribed thiazide diuretics. The nurse should recognize that these medications help prevent stone formation by:

Correct Answer is B

Explanation

A nurse is educating a client with calcium oxalate stones about dietary modifications. Which food should the nurse instruct the client to limit in their diet?

A client with a history of kidney stones is prescribed allopurinol. The nurse should recognize that this medication is primarily used to:

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

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?

A client has been diagnosed with uric acid stones. The nurse should recommend dietary modifications that include:

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 nurse is performing an assessment on a client with a history of recurrent kidney stones. Which risk factor is the nurse most likely to assess for in this client?