The nurse is providing dietary instruction for a patient being discharged after extracorporeal shock-wave lithotripsy for uric acid stones. The nurse is providing nutritional counseling to the patient and instructs the patient to:
A) Avoid shellfish, anchovies, asparagus, mushrooms, and organ meats.
B) Restrict intake of protein and sodium.
C) Avoid spinach, strawberries, rhubarb, chocolate, tea, peanuts, and wheat bran.
D) Increase fluid intake and consume a high-protein diet.
Ans: A
Feedback: For uric acid stones, the patient is placed on a low-purine diet to reduce the excretion of uric acid in the urine. Foods high in purine are shellfish, anchovies, asparagus, mushrooms, and organ meats and should be avoided. Other proteins may also be limited. Patients with calcium stones area advised to restrict their intake of protein and sodium. Patients with cystine stones are prescribed a low-protein diet and are instructed to increase their fluid intake. Patients with oxalate stones are advised to avoid spinach, strawberries, rhubarb, chocolate, tea, peanuts, and wheat bran.
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