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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Venison stew and ice cream are high in animal protein and calcium. Excess dietary calcium and animal protein can increase the urinary excretion of oxalate, contributing to kidney stone formation. Hyperoxaluria leads to the precipitation of calcium oxalate crystals in the renal tubules, exacerbating stone development.
Choice B rationale
Poached salmon and green beans are suitable because salmon is low in oxalate content, and green beans are unlikely to contribute significantly to oxalate excretion. Low-oxalate foods help reduce the recurrence risk of kidney stone formation and support overall renal health.
Choice C rationale
Spinach salad and rhubarb pie are rich in oxalate. Spinach contains 970 mg per 100 g, and rhubarb contributes significantly to dietary oxalate, promoting hyperoxaluria and increasing kidney stone risks. These foods should be avoided by individuals prone to oxalate stones.
Choice D rationale
Sautéed mushrooms and fried rice are acceptable choices, as mushrooms have negligible oxalate content and fried rice does not contribute significantly to oxalate excretion. Both options support balanced nutrition while minimizing renal stone risks.
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.
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