A client with gastroesophageal reflux disorder (GERD), who has been self-medicating with famotidine for the past week, is admitted to the acute care center because the symptoms have worsened. The nurse should anticipate which treatment?

Choice A reason: Baked potato with skin is high in potassium (about 900 mg), unsuitable for CKD, where impaired renal excretion risks hyperkalemia, causing cardiac arrhythmias. White rice is low-potassium, aligning with dietary restrictions, demonstrating understanding of the need to limit potassium intake in renal disease.

Choice B reason: Orange juice contains high potassium (about 500 mg per cup), dangerous in CKD, as reduced glomerular filtration increases hyperkalemia risk, affecting cardiac conduction. White rice, with minimal potassium, complies with restrictions, indicating the client’s understanding of safe dietary choices for kidney function.

Choice C reason: White rice is low in potassium (about 50 mg per cup), appropriate for CKD, where the kidneys cannot excrete excess potassium, risking hyperkalemia and arrhythmias. Choosing white rice shows the client understands the low-potassium diet, supporting safe management of renal disease and electrolyte balance.

Choice D reason: Banana smoothie is high in potassium (about 400 mg per banana), contraindicated in CKD, where hyperkalemia risks cardiac instability due to poor renal clearance. White rice, low in potassium, reflects dietary compliance, demonstrating the client’s understanding of restrictions to prevent electrolyte imbalances.

Choice A reason: Influenza immunization is unlikely to cause eczema flare-ups, as it targets systemic immunity, not skin allergens. A new dog’s dander is a common trigger, making pet exposure more relevant, per dermatological assessment and eczema management protocols in nursing care.

Choice B reason: Corticosteroid cream treats eczema, reducing flare-ups, not causing them. A new dog’s dander is a likely allergen triggering symptoms. Cream use is therapeutic, per dermatological treatment and eczema exacerbation assessment standards in nursing practice during home visits.

Choice C reason: A grandson’s new pet dog introduces allergens like dander, a common eczema trigger, explaining the recent flare-up. Identifying environmental exposures is critical for pinpointing causes, guiding avoidance strategies, per eczema management and dermatological assessment protocols in nursing care.

Choice D reason: A friend with eczema is unlikely to trigger flare-ups, as eczema is not contagious. A new dog’s dander is a more probable allergen. Social contact is less relevant, per dermatological assessment and eczema trigger identification standards in nursing practice.