A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse identify as an Indication of anticipatory grieving?

"I just can't believe that this dialysis is going to ruin my whole life."

“I know that kidney disease runs in my family, but I can prevent it."

"I can now eat whatever I want. The dialysis will remove it from my system."

“I know that I will get a kidney transplant. I am a good candidate,"

Answer and Explanation

The Correct Answer is A

A. "I just can't believe that this dialysis is going to ruin my whole life.": The client is expressing distress and mourning the anticipated lifestyle changes and losses associated with chronic kidney disease and dialysis. It demonstrates emotional processing of future challenges.

B. "I know that kidney disease runs in my family, but I can prevent it.": This statement reflects a sense of control and optimism rather than anticipatory grieving. The client is focusing on prevention, not mourning anticipated loss.

C. "I can now eat whatever I want. The dialysis will remove it from my system.": This statement indicates misunderstanding or denial of treatment limitations, not anticipatory grieving. It reflects a lack of knowledge about dietary restrictions rather than emotional processing.

D. "I know that I will get a kidney transplant. I am a good candidate.": This reflects hope and positive expectation, which is different from anticipatory grieving. The client is focusing on potential future gain rather than acknowledging expected loss.

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Correct Answer is A

Explanation

A. Iron: Epoetin alfa stimulates red blood cell production, but adequate iron stores are necessary for hemoglobin synthesis. Increasing dietary iron supports the effectiveness of epoetin alfa and helps correct anemia associated with chronic kidney disease.

B. Sodium: Clients with chronic kidney disease are typically advised to restrict sodium to control hypertension and fluid retention. Increasing sodium intake would worsen edema and cardiovascular strain rather than support therapy.

C. Protein: Although protein is important for tissue repair, clients with chronic kidney disease are usually placed on a restricted protein diet to reduce nitrogenous waste buildup. Increasing protein would not enhance epoetin alfa’s effectiveness.

D. Potassium: Potassium levels are closely monitored in chronic kidney disease, and most clients are placed on potassium restriction to prevent hyperkalemia. Increasing potassium intake could be dangerous and lead to life-threatening cardiac complications.

A. One crutch and the opposite leg move simultaneous, followed by the other crutch and leg B. Advancing one crutch at a time, followed by each leg separately C. Both crutches and the affected leg move forward, then the unaffected leg advances D. Both crutches move forward, followed by a hop with both legs.

Correct Answer is C

Explanation

A. One crutch and the opposite leg move simultaneously, followed by the other crutch and leg: This describes a 4-point gait, where each crutch and leg move in sequence for maximum stability. It is not the correct sequence for a 3-point gait pattern.

B. Advancing one crutch at a time, followed by each leg separately: This is also consistent with a 4-point gait because it emphasizes alternating movement between crutches and legs, rather than moving both crutches together.

C. Both crutches and the affected leg move forward, then the unaffected leg advances: This is the correct 3-point gait pattern. It allows the client to bear weight on the unaffected leg while moving the crutches and injured leg together, maintaining balance and mobility.

D. Both crutches move forward, followed by a hop with both legs: This describes the swing-to or swing-through gait, often used by clients with paralysis or severe bilateral lower extremity weakness.

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A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse identify as an Indication of anticipatory grieving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Correct Answer is A

Explanation

In a 3-point gait pattern, what is the sequence of movement?

Correct Answer is C

Explanation

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