When providing nutritional counseling to a client at risk for kidney stones, the nurse should recommend a:
1. Low-sodium diet.
2. High-purine diet.
3. Low-potassium diet.
4. High-protein diet.
1
Rationale: A low-sodium diet is recommended because sodium and calcium compete for reabsorption at the renal tubule and excessive sodium will result in increased calcium excretion in the urine. Animal proteins, also known as purines, should be limited since metabolism results in uric acid formation. Potassium does not have a role in kidney stone formation.
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