A nurse is caring for four clients with renal calculi. Of these clients, which one should the nurse identify as having the highest likelihood of requiring surgery to remove the calculi?
A)A 7-year-old with calcium phosphate stones of the bladder
B)A 78-year-old client with struvite stones of the kidney
C)A 31-year-old expectant mother with calcium oxalate stones of the kidney
D)A 46-year-old with uric acid stones of the bladder

Question

Quizplus · Accepted Answer

A)Older individuals are less likely to pass a stone spontaneously and are more likely to require surgical intervention for stones than younger clients, so the 78-year-old client should be considered at the highest risk for surgery. Additionally, struvite stones are more often treated with surgical intervention than other types of stones. Surgery is also contraindicated in pregnant clients.
B)Older individuals are less likely to pass a stone spontaneously and are more likely to require surgical intervention for stones than younger clients, so the 78-year-old client should be considered at the highest risk for surgery. Additionally, struvite stones are more often treated with surgical intervention than other types of stones. Surgery is also contraindicated in pregnant clients.
C)Older individuals are less likely to pass a stone spontaneously and are more likely to require surgical intervention for stones than younger clients, so the 78-year-old client should be considered at the highest risk for surgery. Additionally, struvite stones are more often treated with surgical intervention than other types of stones. Surgery is also contraindicated in pregnant clients.
D)Older individuals are less likely to pass a stone spontaneously and are more likely to require surgical intervention for stones than younger clients, so the 78-year-old client should be considered at the highest risk for surgery. Additionally, struvite stones are more often treated with surgical intervention than other types of stones. Surgery is also contraindicated in pregnant clients.

A Nurse Is Caring for Four Clients with Renal Calculi