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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Caffeinated beverages can cause diarrhea as caffeine stimulates the gastrointestinal tract and can
lead to increased bowel movements.
Choice B reason: Ripe bananas are typically recommended to manage diarrhea due to their pectin content, which can help absorb liquid in the intestines.
Choice C reason: White rice is often recommended for those with diarrhea as it is easy to digest and can help form
stools.
Choice D reason: Low fiber cereal is less likely to cause diarrhea compared to high fiber options, as fiber can accelerate the passage of food through the intestines.
Correct Answer is B
Explanation
Choice A reason: Infusing 0.9% sodium chloride is not the immediate action to take when a transfusion reaction is suspected. The priority is to stop the transfusion and address the reaction.
Choice B reason: Obtaining a blood sample from the client is necessary to perform laboratory tests to confirm the transfusion reaction and to identify the cause.
Choice C reason: Returning the unit of blood to the blood bank is done after the transfusion has been stopped and the reaction has been addressed. It is important for the blood bank to know about the reaction to investigate the cause.
Choice D reason: Notifying the charge nurse is important, but the first action should be to stop the transfusion and maintain the client's safety. The charge nurse can then assist with the subsequent steps.
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