A client has been diagnosed with having calcium oxalate kidney stones following intravenous pyelography. Which of the following teaching points about the treatment of the health problem are justifiable? Select all that apply
A)
"You may need to cut out cocoa, chocolate, and some nuts from your diet."
B)
"It's important that you avoid high-calcium foods like milk, cheese, and yogurt."
C)
"We will come up with a plan to safely limit your fluid intake over the next few weeks."
D)
"Extracorporeal shock-wave lithotripsy treatment may be used to fragment larger stones."
E)
"Most likely your stones can be dissolved by medications over the next several days."
Ans:
A, D
Feedback:
Individuals with calcium oxalate stones often need to avoid high-oxalate foods like nuts, cocoa, and chocolate. Extracorporeal shock-wave lithotripsy treatment may be used to fragment larger renal calculi. It would not be necessary to avoid calcium intake, and fluid intake should encouraged, not curbed. Medications can reduce the potential for stone formation but are not a common treatment modality.
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