A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

"Increase your intake of foods high in oxalate, such as spinach and nuts."

"Limit your consumption of dairy products to reduce calcium intake."

"Avoid foods high in purines, such as red meat and shellfish."

"Reduce your intake of sodium and processed foods."

Answer and Explanation

The Correct Answer is B

A. This statement is not correct. If a client has calcium oxalate stones, they should limit foods high in oxalate, such as spinach and nuts, to reduce the risk of stone formation.

B. This is the correct answer. Calcium oxalate stones are the most common type of kidney stone. Reducing dietary calcium intake can help prevent the formation of calcium oxalate stones. However, it is important to note that not all clients with kidney stones should reduce their calcium intake, as calcium is essential for bone health and other bodily functions.

C. Avoiding foods high in purines is more relevant to the prevention of uric acid stones, not calcium oxalate stones.

D. While reducing sodium and processed foods can be beneficial for overall health, it is not a specific dietary modification for preventing calcium oxalate stones.

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Correct Answer is B

Explanation

A. Extracorporeal shock wave lithotripsy (ESWL) is typically used for smaller stones that can be broken up into smaller fragments and passed more easily. It is not usually recommended for large stones.

B. This is the correct answer. Percutaneous nephrolithotomy (PCNL) is a procedure used to remove larger kidney stones. It involves making a small incision in the back and inserting a nephroscope to directly visualize and remove the stone.

C. Ureteroscopy with laser lithotripsy is used for stones in the ureter, not in the kidney itself.

D. Cystoscopy with stent placement is used for conditions involving the lower urinary tract, such as the urethra and bladder, and is not typically used to remove kidney stones.

A. "ESWL is an invasive surgical procedure that requires a hospital stay." B. "You may experience some discomfort during the procedure, but it will be done under general anesthesia." C. "After the procedure, you will need to avoid all fluids for 24 hours." D. "ESWL uses shock waves to break up kidney stones, and you will need to stay still during the procedure."

Correct Answer is D

Explanation

A. ESWL is a non-invasive procedure, and it does not require a hospital stay. It is typically performed on an outpatient basis.

B. This is not entirely accurate. ESWL is a non-invasive procedure that does not require general anesthesia. Instead, the client may be given sedation or local anesthesia.

C. It is essential to maintain adequate hydration after ESWL to help pass the broken-up stone fragments. Avoiding all fluids for 24 hours is not recommended and may lead to dehydration.

D. This is the correct answer. ESWL uses shock waves to break up kidney stones, and the client will need to remain still during the procedure to ensure precise targeting of the stones. The procedure is usually painless, but some discomfort may be experienced during the process.

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A nurse is teaching a client about dietary modifications to prevent the recurrence of calcium oxalate stones. Which instruction should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for the treatment of kidney stones. What should the nurse include in the preoperative education for the client?

Correct Answer is D

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

A nurse is providing education to a client who has experienced recurrent kidney stones. The client asks, "What can I do to prevent future kidney stones?" What is the nurse's best response?

A client with renal calculus presents to the clinic with severe pain. The nurse notes that the client is restless, pacing, and unable to find a comfortable position. Which additional symptom is the client most likely to report?

A client with a history of kidney stones is prescribed potassium citrate. Which statement by the client indicates understanding of the medication's purpose?

A client with a history of renal calculus is prescribed potassium citrate. Which of the following is the primary purpose of this medication?

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

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?