A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

"You should increase your protein intake to maintain muscle mass."

"Limit your fluid intake to prevent dehydration and overload on your kidneys."

"Include high-potassium foods in your diet to support kidney function."

"Consume foods high in phosphorus to promote bone health."

Answer and Explanation

The Correct Answer is B

A. Incorrect. In chronic renal failure, the kidneys may have difficulty processing excess protein, so protein intake should be limited to reduce the workload on the kidneys.

B. Correct. Limiting fluid intake is crucial in managing chronic renal failure. The kidneys' reduced ability to filter waste products can lead to fluid retention and electrolyte imbalances, so restricting fluid intake helps prevent overload and complications.

C. Incorrect. In chronic renal failure, high-potassium foods should be limited to prevent hyperkalemia, a condition in which potassium levels in the blood become too high.

D. Incorrect. Foods high in phosphorus should be restricted in chronic renal failure because the kidneys may have difficulty excreting excess phosphorus, leading to hyperphosphatemia, which can contribute to bone and mineral disorders.

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Correct Answer is C

Explanation

A. Incorrect. Increasing the intake of potassium-rich foods may not be appropriate, especially if the client's potassium levels are already elevated due to chronic renal failure. High potassium levels can lead to muscle cramps.

B. Incorrect. While regular weight-bearing exercises are beneficial for overall health, they may not specifically address or alleviate muscle cramps in chronic renal failure.

C. Correct. Engaging in stretching exercises before bedtime can help reduce the frequency of muscle cramps in clients with chronic renal failure. Stretching can help relax and lengthen muscles, reducing the risk of cramping.

D. Incorrect. Taking over-the-counter calcium supplements without proper evaluation of calcium levels can be dangerous and may contribute to other imbalances in chronic renal failure.

A. The client has normal kidney function. B. The client has mild kidney impairment. C. The client has moderate kidney dysfunction. D. The client's kidneys are severely damaged.

Correct Answer is C

Explanation

A. Incorrect. A GFR value of 50 mL/min/1.73m² indicates some level of kidney dysfunction, not normal kidney function.

B. Incorrect. A GFR value of 50 mL/min/1.73m² indicates moderate kidney dysfunction, not mild impairment.

C. Correct. A GFR value of 50 mL/min/1.73m² is considered to represent moderate kidney dysfunction. This level of GFR indicates that the kidneys are not effectively filtering waste and fluids from the blood.

D. Incorrect. While a GFR value of 50 mL/min/1.73m² indicates kidney dysfunction, it does not represent severe kidney damage. Severe kidney dysfunction would have a much lower GFR value.

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A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

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Naxlex Comprehensive Predictor Exams

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

Correct Answer is C

Explanation

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?

Correct Answer is C

Explanation

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