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?
"Restrict your partner's oral fluid intake to 450 mL/day."
"Limit your partner's potassium intake to 60 mEq/L per day."
"Help your partner consume foods containing phosphorus."
"Encourage foods high in protein for your partner.”
The Correct Answer is B
A. "Restrict your partner's oral fluid intake to 450 mL/day.": Fluid restriction in ESKD should be individualized based on the client’s kidney function and retention. A strict 450 mL/day limit is not universally applicable.
B. "Limit your partner's potassium intake to 60 mEq/L per day.": Potassium intake is typically restricted in ESKD due to the kidneys' reduced ability to excrete it. The appropriate restriction depends on potassium levels, but generally, it’s advised to limit intake to prevent hyperkalemia and related complications.
C. "Help your partner consume foods containing phosphorus.": Phosphorus intake should be restricted in ESKD, as high phosphorus levels can cause complications like bone disease. Consuming phosphorus-rich foods should be avoided to prevent calcium-phosphorus imbalances and calcification.
D. "Encourage foods high in protein for your partner.": Excess protein intake in ESKD can exacerbate kidney function decline and increase waste buildup. Protein intake should be monitored and reduced to minimize the kidneys’ workload and prevent further damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Have the client identify stressful situations: While identifying stressful situations is important for stress management, it is not a specific treatment method for fibromyalgia. Stress reduction is part of management but is not the primary intervention for chronic pain.
B. Encourage the client to participate in yoga: Yoga is an excellent alternative treatment for fibromyalgia and chronic pain. It helps improve flexibility, reduce stress, and promote relaxation. It has been shown to improve pain, sleep, and quality of life for individuals with fibromyalgia.
C. Instruct the client to limit visitors: Limiting visitors is not a standard recommendation for treating fibromyalgia. Social support can be beneficial for emotional well-being, and there is no evidence suggesting that limiting social interactions improves fibromyalgia symptoms.
D. Advise the client to take walks regularly: Light physical activity like walking can be helpful for overall health. While walking can be part of an overall exercise plan, yoga is more directly beneficial for chronic pain in fibromyalgia.
Correct Answer is B
Explanation
A. Administer digoxin by IV bolus: Digoxin is contraindicated in heart block, as it can worsen the condition. In third-degree heart block, it could further disrupt the electrical signals between the atria and ventricles.
B. Prepare the client for temporary pacing: Third-degree heart block leads to a slow and ineffective heart rate. Temporary pacing is needed to restore the heart’s normal rhythm and improve cardiac output.
C. Instruct the client to perform the Valsalva maneuver: The Valsalva maneuver is used for certain arrhythmias, but not for third-degree heart block. It could slow the heart rate further and worsen the block.
D. Perform carotid sinus massage: Carotid sinus massage is used for arrhythmias like atrial fibrillation or supraventricular tachycardia. In heart block, it could decrease the heart rate even more, making the condition worse.
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