The nurse on a urology unit is caring for a client diagnosed with calcium oxalate renal calculi.
When planning this client's health education, what nutritional guidelines should the nurse provide?
Increase purine-rich food intake.
Follow a low-calcium diet.
Increase intake of potassium-rich foods.
Restrict foods with protein.
The Correct Answer is D
Protein intake can increase the excretion of calcium and oxalate in the urine, which can promote the formation of calcium oxalate stones. The client should limit animal protein sources, such as meat, poultry, fish, eggs, and dairy products.
Choice A is wrong because purine-rich foods, such as organ meats, shellfish, and beer, can increase the production of uric acid, which can cause uric acid stones.
Choice B is wrong because a low-calcium diet can increase the absorption of oxalate in the intestine, which can increase the risk of calcium oxalate stones.
The client should consume a moderate amount of calcium from dietary sources, such as milk, cheese, yogurt, and green leafy vegetables.
Choice C is wrong because potassium-rich foods, such as bananas, oranges, potatoes, and tomatoes, can help prevent calcium oxalate stones by increasing the urinary pH and citrate levels.
The client should consume adequate amounts of potassium from dietary sources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the only solution that is isotonic and compatible with blood products. It will not cause hemolysis or clotting of the blood cells.
Choice B is wrong because lactated Ringer’s is a balanced electrolyte solution that contains calcium, which can cause clotting of the blood cells.
Choice C is wrong because 5% dextrose is a hypotonic solution that can cause hemolysis of the blood cells.
Choice D is wrong because 5% dextrose in 0.45% sodium chloride is a hypertonic solution that can cause hemolysis of the blood cells.
Correct Answer is B
Explanation
Oliguria is the term for a urine output less than 400 mL per day. This can indicate dehydration, kidney failure, urinary obstruction, or other conditions that affect urine production.
Choice A is wrong because anuria is the term for a urine output less than 100 mL per day.
This is a more severe form of oliguria and can indicate complete kidney failure or urinary obstruction.
Choice C is wrong because polyuria is the term for a urine output more than 3000 mL per day.
This can indicate diabetes mellitus, diabetes insipidus, diuretic use, or excessive fluid intake.
Choice D is wrong because dysuria is the term for painful or difficult urination.
This can indicate urinary tract infection, kidney stones, bladder inflammation, or other conditions that affect the urinary tract.
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