The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.
Which of the following food choices by the client would indicate that the client requires more teaching?

Venison stew and ice cream.

Poached salmon and green beans.

Spinach salad and rhubarb pie.

Sautéed mushrooms and fried rice.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Venison stew and ice cream are low in oxalate content. Oxalate kidney stones are formed due to high urinary oxalate levels, often from consuming oxalate-rich foods. Venison provides protein but does not contribute significantly to oxalate levels, while dairy products like ice cream have calcium which binds oxalate, reducing absorption in the gut.

Choice B rationale

Poached salmon and green beans are suitable choices as they have low oxalate content. Salmon provides omega-3 fatty acids, which can reduce kidney stone risk, and green beans are a low-oxalate vegetable, making this meal appropriate for oxalate management.

Choice C rationale

Spinach and rhubarb are high in oxalates. Spinach contains around 750 mg oxalates per 100 grams, and rhubarb contains 860 mg per 100 grams. Consuming these increases urinary oxalate excretion, elevating the risk of stone formation, indicating a need for further dietary education.

Choice D rationale

Sautéed mushrooms and fried rice are acceptable as both are low in oxalates. Mushrooms provide nutrients like selenium and vitamin D, while rice is a carbohydrate source free from oxalate, making this option suitable for oxalate kidney stone prevention.

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Correct Answer is ["12"]

Explanation

Step 1 is to convert 176 pounds to kilograms. (176 ÷ 2.2) = 80 kg.

Step 2 is to calculate the drug dose. (10 mcg × 80 kg) ÷ 1000 = 0.8 mg/minute.

Step 3 is to find the hourly dose. (0.8 mg × 60 minutes) = 48 mg/hour.

Step 4 is to calculate mL/hour. (48 mg ÷ (1000 mg ÷ 250 mL)) = 12 mL/hour. The final calculated answer is 12 mL/hour.

A. "Stones that are lodged in the ureter cause symptoms like you are describing.”. B. "You will most likely pass the stones in the next few hours.”. C. "Your symptoms are consistent with stones that are lodged in the bladder.”. D. "The stones will need to be removed through a procedure.”.

Correct Answer is A

Explanation

Choice A rationale

Stones lodged in the ureter cause severe, colicky pain due to intense peristaltic waves attempting to dislodge the obstruction. The pain often radiates down the thigh and groin as the ureter's path follows these areas. Additionally, urinary retention or frequent urges with minimal voiding occurs due to irritation and partial blockage, confirming ureteral stone involvement.

Choice B rationale

While some stones may pass spontaneously, timing varies widely depending on size, location, and hydration levels. Pain and obstruction may persist longer than a few hours, making this statement misleading without further assessment.

Choice C rationale

Bladder stones may cause lower abdominal pain, frequency, and hematuria but do not typically involve radiating pain to the groin or thigh. The described symptoms strongly suggest ureteral obstruction rather than bladder involvement.

Choice D rationale

While procedural removal is an option for large or immovable stones, initial approaches often include pain control, hydration, and medical expulsive therapy. Surgical intervention is not the first-line explanation unless conservative management fails.

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The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.Which of the following food choices by the client would indicate that the client requires more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["12"]

Explanation

The nurse is assessing a client suspected of having renal calculi who reports severe, wavelike pain that radiates down the thigh and to the genital area and a sensation of needing to void, but only small amounts are voided.The nurse should explain which of the following information to the client?

Correct Answer is A

Explanation

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The nurse has taught nutrition management for a client diagnosed with oxalate kidney stones.
Which of the following food choices by the client would indicate that the client requires more teaching?