Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing dietary teaching to client who has calcium oxalate kidney stones. Which of the following statements indicates an understanding of the teaching?
A. "I can have almonds as a snack"
Almonds are high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. Therefore, almonds should be avoided or consumed in moderation by individuals with this condition.
B. "I may eat a sweet potato for dinner.
Sweet potatoes contain moderate levels of oxalates, which may increase the risk of calcium oxalate kidney stones if consumed in large amounts. It is advisable for individuals with this condition to limit their intake of sweet potatoes.
C. "I may eat a banana with my breakfast"
Bananas are low in oxalates, making them a suitable choice for individuals with calcium oxalate kidney stones. Including bananas in the diet can help reduce the risk of stone formation.
D. “I can use soy milk with my cereal"
Soy milk may contain moderate to high levels of oxalates, depending on processing methods. It is recommended to choose low-oxalate alternatives for individuals prone to calcium oxalate kidney stones.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Med Surg Proctored Exam 8. Take the full exam now
Full Explanation
A. Almonds are high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. Therefore, almonds should be avoided or consumed in moderation by individuals with this condition.
B. Sweet potatoes contain moderate levels of oxalates, which may increase the risk of calcium oxalate kidney stones if consumed in large amounts. It is advisable for individuals with this condition to limit their intake of sweet potatoes.
C. Bananas are low in oxalates, making them a suitable choice for individuals with calcium oxalate kidney stones. Including bananas in the diet can help reduce the risk of stone formation.
D. Soy milk may contain moderate to high levels of oxalates, depending on processing methods. It is recommended to choose low-oxalate alternatives for individuals prone to calcium oxalate kidney stones.
Similar Questions
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
A. The erythrocyte sedimentation rate (ESR)
The erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not used to assess the therapeutic effect of epoetin alfa.
B. The hematocrit (Hct)
The hematocrit (Hct) measures the proportion of red blood cells in the blood. Epoetin alfa stimulates the production of red blood cells, leading to an increase in hematocrit levels, indicating a therapeutic effect of the medication.
C. The leukocyte count
The leukocyte count measures the number of white blood cells in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
D. The platelet count
The platelet count measures the number of platelets in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
Full Explanation
A. The erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not used to assess the therapeutic effect of epoetin alfa.
B. The hematocrit (Hct) measures the proportion of red blood cells in the blood. Epoetin alfa stimulates the production of red blood cells, leading to an increase in hematocrit levels, indicating a therapeutic effect of the medication.
C. The leukocyte count measures the number of white blood cells in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
D. The platelet count measures the number of platelets in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
A. BUN 45 mg/dL and creatinine 8 mg/dL
These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B. BUN 8 mg/dL and creatinine 0.7 mg/dL
These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C. BUN 10 mg/dl and creatinine 0.3 mg/dl
These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D. BUN 23 mg/dl and creatinine 1.0 mg/dl
These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.
Full Explanation
A. These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B. These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C. These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D. These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
A. Lethargy
Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia
Photophobia is not typically associated with hypothyroidism.
C. Weight loss
Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos
Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.
Full Explanation
A. Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia is not typically associated with hypothyroidism.
C. Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.