Final answer:
The nurse should advise the client with a history of calcium oxalate kidney stones to avoid consuming strawberries, which are high in oxalates and can promote further stone formation. The correct option is b.
Step-by-step explanation:
A client with nephrolithiasis arrives at a clinic for a follow-up visit. Given that the laboratory analysis revealed the calculi to be comprised of calcium oxalate, it is crucial for the nurse to advise dietary modifications to prevent further stone formation. Certain foods are known to be rich in oxalate, which can promote the formation of calcium oxalate stones.
To reduce the risk of forming new kidney stones, patients are frequently directed to limit their intake of oxalate-rich foods. Among the options provided (lentils, strawberries, lettuce, pasta), strawberries stand out as containing significant amounts of oxalate and should be avoided by the client. Lentils, lettuce, and pasta do not have high levels of oxalate and thus would be less of a concern in this context.
The nurse should tell the client to avoid consuming b) strawberries to help manage and prevent calcium oxalate stones.