A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

"Increase your intake of dairy products to prevent stone formation."

"Limit your consumption of high-phosphorus foods to reduce stone risk."

"Avoid foods high in purines, such as organ meats and certain seafood."

"Limit your fluid intake to prevent struvite stone formation."

Answer and Explanation

The Correct Answer is B

A. This statement is not correct. Increasing dairy product intake may provide calcium, which is important for overall health, but it is not a specific dietary modification to prevent struvite stones.

B. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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

D. Limiting fluid intake is

not recommended for the prevention of struvite stones. Adequate fluid intake is essential in preventing stone formation.

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Correct Answer is D

Explanation

A. This statement is not correct. Adequate fluid intake is essential in preventing kidney stones. Reducing fluid intake can increase the concentration of minerals in the urine and promote stone formation.

B. This statement is not correct. A high-protein diet can contribute to the formation of certain types of kidney stones, such as uric acid stones. It is not recommended as a preventive measure.

C. This statement is not correct. Dairy products are an important source of calcium, which is needed for overall health. However, individuals with calcium oxalate stones may need to limit high-oxalate foods in their diet.

D. This is the correct answer. Adequate fluid intake helps dilute urine and reduces the concentration of minerals that can lead to stone formation.

A. "Avoid foods high in oxalate, such as spinach and nuts." B. "Limit your intake of purine-rich foods like organ meats and shellfish." C. "Reduce your consumption of dairy products to lower calcium intake." D. "Limit your intake of high-phosphorus foods like red meat and dairy."

Correct Answer is D

Explanation

A. Avoiding foods high in oxalate is more relevant to the prevention of calcium oxalate stones, not struvite stones.

B. Limiting intake of purine-rich foods is more relevant to the prevention of uric acid stones, not struvite stones.

C. This statement is not correct. Reducing calcium intake is not recommended for struvite stones. In fact, calcium is an essential nutrient for overall health.

D. This is the correct answer. Struvite stones are composed of magnesium, ammonium, and phosphate. Limiting the intake of high-phosphorus foods can help prevent the formation of these stones.

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A nurse is teaching a client with a history of struvite stones about dietary modifications to prevent stone recurrence. Which instruction should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse, "What can I do to prevent kidney stones from forming again?" Which response by the nurse is most appropriate?

Correct Answer is D

Explanation

A nurse is caring for a client with struvite stones. Which dietary recommendation should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

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