Question

A client with nephrolithiasis arrives at the clinic for a follow-up visit. Laboratory analysis of the stone that the client passed 1 week earlier indicates that the stone is composed of calcium oxalate. Based on these data, what food item does the nurse instruct the client to avoid?

1.Pasta
2.Lentils
3.Lettuce
4.Spinach

Answer 1

Option 4. A client with a calcium oxalate kidney stone should avoid consuming spinach because it is high in oxalates, which contribute to the formation of such kidney stones.

Step-by-step explanation:

A client with nephrolithiasis, specifically with a calcium oxalate stone, should be instructed to avoid oxalate-rich foods. Among the options presented, the food item to avoid would be spinach as it is high in oxalates, which can contribute to the formation of calcium oxalate kidney stones. An adequate intake of dietary calcium is important because it helps to bind oxalate in the gut and may reduce the absorption and subsequent excretion of oxalate in the urine, which would otherwise promote stone formation.

To prevent the formation of calcium oxalate stones, the client should avoid foods high in oxalate. Spinach is one such food item to avoid. Calcium oxalate stones are the most common type of kidney stones. To prevent the formation of these stones, the nurse should instruct the client to avoid foods that are high in oxalate. Spinach is one such food item that is high in oxalate and should be avoided.