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 D
Explanation
Choice A reason: While bananas are well-known for their potassium content, with one medium banana containing about 451 mg of potassium, they are not the highest source among the options given.
Choice B reason: Spinach is also a good source of potassium, with 1 cup of cooked spinach offering about 830 mg. However, it still does not surpass the potassium content of a baked potato.
Choice C reason: Avocados contain potassium, with one-half cup providing 364 mg. Despite their health benefits,
they have less potassium compared to a baked potato.
Choice D reason: Baked potatoes contain the highest amount of potassium among the options listed. One medium baked potato has 929 mg of potassium, making it the best choice for someone at risk for hypokalemia.
Correct Answer is C
Explanation
Choice A reason: Testing the balloon is important, but it is not the action to take immediately before insertion.
Choice B reason: While cleaning the urinary meatus is necessary, using one cotton swab is not sufficient for proper aseptic technique.
Choice C reason: Donning sterile gloves is essential to maintain an aseptic technique during catheter insertion to prevent infection.
Choice D reason: An oil-based lubricant should not be used as it can increase the risk of infection and is not compatible with the catheter material; a water-soluble lubricant is recommended.
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