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 C
Explanation
Choice A reason: Urine osmolality of 200 mOsm/kg is lower than expected in dehydration. Dehydration typically results in higher osmolality due to the concentration of urine.
Choice B reason: Cloudy urine can be a sign of infection or other conditions, but it is not a specific indicator of dehydration.
Choice C reason: Dark-colored urine is a common finding in dehydration as the body conserves water, leading to
more concentrated urine.
Choice D reason: A urine specific gravity of 1.015 is within the normal range. In dehydration, we would expect a higher specific gravity, indicating more concentrated urine.
Correct Answer is B
Explanation
Choice A reason: The left ventricle pumps oxygenated blood into the aorta and then to the rest of the body, not
directly to the lungs.
Choice B reason: The pulmonary artery is the correct answer because it carries deoxygenated blood from the right
ventricle of the heart to the lungs for oxygenation.
Choice C reason: The left atrium receives oxygenated blood from the lungs through the pulmonary veins, so it is not
involved in sending blood to the lungs.
Choice D reason: The pulmonary veins carry oxygenated blood from the lungs to the left atrium, not from the heart
to the lungs.
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