Practice Question
A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?
Answer Choices:
Correct Answer:
Dehydration
Rationale:
💧Low urine volume from dehydration causes urinary solutes (e.g., calcium, oxalate, uric acid) to become supersaturated, greatly increasing crystal nucleation and stone growth.
💧Adequate hydration maintains urine output ≥2–2.5 L/day, which dilutes lithogenic substances and lowers stone recurrence.
💧Dehydration is a universal risk across major stone types (calcium oxalate, uric acid, cystine), making it the single most modifiable factor.
💧Counseling emphasizes consistent fluid intake throughout the day and extra fluids with heat/exertion to prevent concentrated urine.
💧Nurses reinforce urine color targets (pale yellow) and 24-hr urine goals as practical markers of adequate hydration.
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This question is from Custom NUR212 Final Assessment Fall 1 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4