MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

Kyle, a 28-year-old teacher, is admitted to the hospital with a diagnosis of renal calculi. The result of Kyle's blood studies shows a BUN of 20 mg/dL, serum calcium level of 4.5 mEq/L, serum phosphorus of 1.8 mEq/L, serum sodium of 138 mEq/L, and urine pH of 5.1. Calcium phosphate stone is suspected. What nursing intervention would be most effective in altering Kyle's urine pH?

  1. Increasing activity
  2. Forcing fluids
  3. Administering allopurinol zyloprim as ordered
  4. Excluding high calcium fluids from his diet
Explanation

Answer: D - Foods high in calcium, such as milk products, tend to alkalinize urine. Avoiding high calcium foods will help to decrease urine pH.

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