Nokea
Which dietary recommendation should the nurse provide to the client to prevent the recurrence of calcium oxalate stones?
- A. Increase intake of leafy green vegetables
- B. Limit intake of oxalate-rich foods
- C. Avoid all protein-rich foods
- D. Decrease fluid intake
Correct Answer: B
Rationale: Limiting oxalate-rich foods (e.g., spinach, nuts) reduces the formation of calcium oxalate stones.
You may also like to solve these questions
The client diagnosed with renal calculi is scheduled for lithotripsy. Which postprocedure nursing task is the most appropriate to delegate to the UAP?
- A. Monitor the amount, color, and consistency of urine output.
- B. Teach the client about care of the indwelling Foley catheter.
- C. Assist the client to the car when being discharged home.
- D. Take the client’s postprocedural vital signs.
Correct Answer: C
Rationale: Assisting the client to the car is a non-clinical task within the UAP’s scope. Monitoring urine, teaching catheter care, and taking vital signs require nursing judgment and are not delegable.
The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago. Which complaint by the client indicates the need to notify the health-care provider?
- A. The client complains of flu-like symptoms.
- B. The client complains of being tired all the time.
- C. The client reports an elevation in his blood pressure.
- D. The client reports discomfort in his legs and back.
Correct Answer: C
Rationale: Erythropoietin can cause hypertension as a side effect, which is significant in CKD patients and warrants notifying the provider. Flu-like symptoms and fatigue are common and expected, while leg/back discomfort is less specific.
It is most appropriate for the nurse to advise the client that taking this medication will have which effect on the urine?
- A. The urine will look cloudy.
- B. The urine will appear orange.
- C. The urine will become scant.
- D. The urine will have a strong odor.
Correct Answer: B
Rationale: Phenazopyridine (Pyridium) commonly causes the urine to turn orange, which is a harmless side effect that the client should be informed about.
The client with possible renal calculi is scheduled for a renal ultrasound. Which intervention should the nurse implement for this procedure?
- A. Ask if the client is allergic to shellfish or iodine.
- B. Keep the client NPO eight (8) hours prior to the ultrasound.
- C. Ensure the client has a signed informed consent form.
- D. Explain the test is noninvasive and there is no discomfort.
Correct Answer: D
Rationale: Renal ultrasound is noninvasive, painless, and requires minimal preparation. Explaining this reduces anxiety. No contrast (iodine) is used, NPO is unnecessary, and informed consent is not typically required.
To avoid erroneous test results caused by the manipulation of the prostate, the nurse should be included in diagnostic test before the client's rectal examination?
- A. Kidneys, ureters, bladder X-ray
- B. Needle biopsy of the prostate gland
- C. Prostate specific antigen (PSA) test
- D. Transrectal ultrasound examination
Correct Answer: C
Rationale: The PSA test should be done before rectal examination, as manipulation can elevate PSA levels, leading to false results.