A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

"Take the phosphate binders with meals to maximize their effectiveness."

"Phosphate binders can cause constipation, so drink plenty of fluids."

"Avoid taking phosphate binders with calcium supplements to prevent interactions."

"Phosphate binders can lower potassium levels, so monitor your potassium intake."

Answer and Explanation

The Correct Answer is A

A. Correct. Phosphate binders are most effective when taken with meals because they bind to dietary phosphorus, preventing its absorption in the digestive tract.

B. Incorrect. While constipation can be a side effect of some phosphate binders, drinking plenty of fluids is not directly related to this issue.

C. Incorrect. Phosphate binders should be taken with meals, and calcium supplements should be taken separately to prevent interactions between the two medications.

D. Incorrect. Phosphate binders do not typically lower potassium levels, and monitoring potassium intake is not specifically related to their use.

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Correct Answer is C

Explanation

A. Incorrect. Age is a non-modifiable risk factor for chronic renal failure. While the risk of kidney disease may increase with age, it is not something that individuals can control or change.

B. Incorrect. Gender is also a non-modifiable risk factor, as both males and females can develop chronic renal failure. It does not impact an individual's ability to modify their risk.

C. Correct. Smoking is a modifiable risk factor for chronic renal failure. Smoking can damage blood vessels, leading to reduced blood flow to the kidneys and an increased risk of kidney disease.

D. Incorrect. Family history of kidney disease is a non-modifiable risk factor. While individuals cannot change their family history, they can modify other lifestyle factors, such as smoking, to reduce their overall risk of kidney disease.

A. "You need to fast for at least 8 hours before the test." B. "Make sure to drink plenty of water before the test to stay hydrated." C. "Avoid eating red meat and dairy products 24 hours before the test." D. "There are no special preparations needed for the GFR test."

Correct Answer is D

Explanation

A. Incorrect. Fasting is not required for a GFR test.

B. Incorrect. While staying hydrated is essential for overall health, there are no specific hydration requirements before a GFR test.

C. Incorrect. While dietary changes may be necessary for other tests, such as creatinine clearance, there are no specific dietary restrictions for the GFR test.

D. Correct. There are no special preparations needed for a GFR test. The test can be done at any time, regardless of food intake or hydration status.

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A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

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Naxlex Comprehensive Predictor Exams

A nurse is providing a community education session about the risk factors for chronic renal failure. Which lifestyle factor should the nurse emphasize as a modifiable risk factor for kidney disease?

Correct Answer is C

Explanation

A client with chronic renal failure is scheduled for a GFR test. The client asks the nurse if there is anything they need to do to prepare for the test. What is the nurse's best response?

Correct Answer is D

Explanation

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

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A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

A client with chronic renal failure asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?

A nurse is caring for a client with chronic renal failure. The client reports experiencing muscle cramps. What is the nurse's best action?