The nurse is giving discharge instructions to a client treated ...

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The nurse is giving discharge instructions to a client treated for renal calculi. The nurse explains that the stones can be prevented in many cases by:
 
  1. drinking 8-10 glasses of water daily.
  2. engaging in frequent aerobic exercise.
  3. taking urinary antiseptic agents to prevent urinary tract infections.
  4. restricting protein and foods that cause high uric acid

Question 2

A client with a history of UTIs asks what can be done besides taking antibiotics to help prevent them from occurring. What should the nurse recommend to this client? (Select all that apply.)
 
  1. Take bilberry capsules
  2. Limit the intake of alcohol
  3. Take extra vitamin C everyday
  4. Drink cranberry juice everyday
  5. Increase the intake of fat in the diet

[scrocafella]

Answer to Question 1

Answer: 1

1. High fluid intake keeps urine diluted and prevents stasis of urine.
2. Exercise might be helpful to prevent calcium stones but not all kidney stones.
3. Urinary antiseptic agents will not prevent all stone formation.
4. Stone analysis must be done for specific dietary restrictions to be appropriate.

Answer to Question 2

Answer: 1, 2, 3, 4

1. Bilberry (a relative of the blueberry) is recommended to reduce UTIs and is available as an herbal extract in capsules.
2. Dietary changes to prevent UTIs include reducing the intake of alcohol.
3. Vitamin C supplements can help treat and prevent UTIs.
4. Cranberry products are effective in preventing UTI, especially in women with recurrent UTIs. Cranberry interferes with the ability of bacteria to attach to epithelial cells in the urinary tract. Juice appears to be more effective than cranberry capsules, particularly when consumed more than twice a day.
5. Dietary changes to prevent UTIs include reducing the intake of fat.