A nurse is caring for a client who has end-stage kidney disease. Which of the following dietary instructions should the nurse give to the client's partner?
"Limit your partner's potassium intake to 60 mEq/L per day.
"Encourage foods high in protein for your partner.”
"Help your partner consume foods containing phosphorus.
Restrict your partner's oral fluid intake to 450 mL/day"
The Correct Answer is A
A. Clients with end-stage kidney disease (ESKD) are at risk for hyperkalemia due to impaired potassium excretion. Limiting potassium intake to approximately 60 mEq/day helps prevent life-threatening complications.
B. High-protein diets are not typically encouraged for clients with ESKD who are not on dialysis, as protein breakdown produces nitrogenous waste. Protein intake is carefully managed based on dialysis status.
C. Foods high in phosphorus should be avoided in ESKD, as phosphorus excretion is impaired, leading to hyperphosphatemia and complications like bone disease.
D. While fluid restriction is common, 450 mL/day is generally too restrictive. The typical recommendation is around 500–1,000 mL/day plus urine output, based on the client’s fluid status and dialysis schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Serous drainage is not expected with a pneumothorax, which usually involves air in the pleural space, not fluid. If fluid is present, it would typically be minimal and possibly bloody if trauma is involved.
B. Tidaling (the rise and fall of water in the water seal chamber with the client's respirations) is an expected finding and indicates that the chest tube system is patent and responding to changes in intrathoracic pressure.
C. Tracheal deviation toward the unaffected side is a sign of a tension pneumothorax, which is a medical emergency, not an expected finding after chest tube placement.
D. Diminished breath sounds in the lung base may occur with a pleural effusion but are not the typical expected outcome following a chest tube for pneumothorax. Breath sounds should gradually improve as the lung re-expands.
Correct Answer is ["A","B","E"]
Explanation
A. Verifying the TPN solution with another RN is a safety protocol to ensure the correct solution and dosage, as TPN contains high concentrations of nutrients and electrolytes.
B. Monitoring serum blood glucose is essential, as TPN contains dextrose and can cause hyperglycemia or hypoglycemia.
C. Increasing the rate of infusion to make up for delays is unsafe and can lead to fluid and electrolyte imbalances or hyperglycemia. TPN should be infused at a constant prescribed rate.
D. Infusing 0.9% sodium chloride as a substitute is inappropriate. If TPN is temporarily unavailable, 10% or 20% dextrose in water should be used to prevent hypoglycemia.
E. Daily weight monitoring helps assess fluid balance and nutritional status, making it an appropriate nursing action during TPN therapy.
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