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."
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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Related Questions
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.
Correct Answer is D
Explanation
A. This statement is not correct. Adequate fluid intake is essential to help prevent kidney stones. Restricting fluid intake can increase the concentration of minerals in the urine and promote stone formation.
B. This statement is not correct. While calcium oxalate stones are common, reducing calcium intake is not recommended for most people. In fact, a low-calcium diet may increase the risk of other types of kidney stones.
C. This statement is not correct. Fruits and vegetables contain valuable nutrients and should not be avoided. However, some fruits and vegetables are high in oxalate, which may contribute to the formation of calcium oxalate stones. The key is to consume a balanced diet and drink plenty of fluids.
D. This is the correct answer. Adequate fluid intake is crucial in preventing kidney stones. It helps dilute the urine and reduce the concentration of minerals that can lead to stone formation.
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