Question

A male client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about the dietary restriction he should follow. In discussing fluid intake, the nurse should include which type of fluid limitation?

1) No fluid restriction
2) Restrict intake of caffeinated beverages
3) Limit intake of dairy products
4) Avoid drinking water

Answer 1

A male client recovering from urinary tract calculi should drink enough water to make 2 to 2.5 liters of urine per day and limit the intake of caffeinated beverages. There is no need to restrict the intake of dairy products. A diet low in protein, nitrogen, and sodium intake is recommended, along with restricting the intake of oxalate-rich foods.

Step-by-step explanation:

During discharge teaching, the nurse should include information about fluid intake for a male client recovering from urinary tract calculi. In this case, the nurse should advise the client to drink enough water to make 2 to 2.5 liters of urine per day. This is important for preventing the formation of kidney stones.

The nurse should also recommend a diet low in protein, nitrogen, and sodium intake. The client should restrict the intake of oxalate-rich foods, such as chocolate, nuts, soybeans, rhubarb, and spinach. However, there is no need to restrict the intake of dairy products. In fact, maintaining an adequate intake of dietary calcium is beneficial in preventing the formation of kidney stones.

It is also important for the client to limit the intake of caffeinated beverages, as caffeine can promote vasodilation in the nephron, increasing glomerular filtration rate (GFR) and potentially contributing to the formation of kidney stones.