The nurse is instructing a patient with uric acid stones on ...

[mydiamond]

The nurse is instructing a patient with uric acid stones on methods to prevent lithiasis. Which patient statement indicates that teaching has been effective?
 
  1. I should avoid organ meats and sardines in my diet.
  2. I will increase purine-rich foods in my diet.
  3. I know to avoid eating vitamin D-enriched foods.
  4. I will have to make my urine more acidic by eating cheese, cranberries, grapes, and tomatoes.

Question 2

A patient is scheduled for a lithotripsy for renal calculi. What should the nurse explain to the patient as the purpose of a bowel preparation prior to this procedure?
 
  1. ensuring maximum visualization of the kidney and the stones
  2. ensuring that there is no evidence of constipation prior to the procedure
  3. increasing comfort
  4. reducing postoperative pain

[nickk12214]

Answer to Question 1

Correct Answer: 1
The patient with uric acid stones requires a diet low in purines, which are found in organ meats and sardines. Patients with calcium stones should limit vitamin D. A patient with uric acid stones should not try to make the urine more acidic.

Answer to Question 2

Correct Answer: 1
Fecal material in the bowel may impede fluoroscopic visualization of the kidney and stone. Constipation prior to the procedure has no bearing on the procedure if bowel preparation is completed. Bowel preparation would not contribute to patient comfort or reducing postoperative pain.