A nurse is reinforcing teaching with a client who has kidney stones. Which of the following instructions should the nurse include?
Choose sugar-sweetened beverages.
Limit your calcium intake.
Drink 1 liter of fluid each day.
Filter your urine each day.
The Correct Answer is D
Choice A reason: Choosing sugar-sweetened beverages is not recommended for clients with kidney stones as they
can lead to weight gain and increase the risk of stone formation.
Choice B reason: Limiting calcium intake is not generally advised for kidney stone prevention; in fact, adequate
calcium intake is important to bind oxalate in the gut.
Choice C reason: Drinking only 1 liter of fluid each day is insufficient; it is recommended to drink enough water to produce at least 2.5 liters of urine daily to prevent kidney stones.
Choice D reason: Filtering urine each day can help to catch stones that are passed, which can then be analyzed to determine their composition and guide further treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The small intestine is not the starting point of the digestive process. It is where most of the digestion and absorption of nutrients occurs after the food has been processed in the stomach.
Choice B reason: The rectum is the final section of the large intestine, where feces are stored before being expelled. It is not involved in the initial stages of digestion.
Choice C reason: The stomach is involved in the early stages of digestion, particularly in the breakdown of proteins, but it is not the starting point. Food enters the stomach after being ingested through the mouth.
Choice D reason: The mouth is the correct starting location for the digestive process. Here, ingestion takes place, and mechanical digestion begins with chewing, while chemical digestion starts with enzymes in the saliva breaking down carbohydrates.

Correct Answer is D
Explanation
Choice A reason: Sterile gloves are not required for inserting an NG tube; clean gloves are sufficient as the nasal
cavity is not a sterile environment.
Choice B reason: The client should not be asked to cough while inserting the NG tube as this could disrupt the placement process. Instead, the client may be asked to swallow to facilitate the passage of the tube.
Choice C reason: Placing the client into a left lateral position is not the standard position for NG tube insertion. The
client should be in an upright or semi-Fowler's position to aid in the insertion process.
Choice D reason: Determining the length of the NG tube to be inserted is a crucial step to ensure that the tube
reaches the stomach without coiling in the esophagus or extending into the small intestine.
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