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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Calcium oxalate stones are common, and limiting the intake of foods high in oxalate, such as spinach, nuts, and certain other vegetables and fruits, can help reduce the risk of stone recurrence.
B. Increasing the intake of red meat and fish is not recommended to prevent calcium oxalate stones. In fact, high intake of animal protein may increase the risk of certain types of stones, such as uric acid stones.
C. Consuming carbonated beverages is not recommended to improve kidney function or prevent kidney stones. Some carbonated beverages may contain phosphoric acid, which can contribute to stone formation.
D. Avoiding dairy products is not recommended to prevent calcium oxalate stone formation. In fact, adequate dietary calcium intake from food sources may help reduce the risk of these stones.
Correct Answer is C
Explanation
A. Reducing calcium intake is not typically recommended for uric acid stones. In fact, low calcium intake can increase the risk of other types of kidney stones.
B. Increasing consumption of red meat and shellfish is not recommended for uric acid stones. These foods are high in purines, which can increase uric acid levels in the body.
C. This is the correct answer. Uric acid stones are formed from high levels of uric acid in the urine. Purine-rich foods can contribute to elevated uric acid levels, so limiting these foods is important in managing uric acid stones.
D. Increasing intake of oxalate-rich foods is not specifically relevant to uric acid stones. Oxalate-rich foods are associated with calcium oxalate stones, not uric acid stones.
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