A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?(Select All that Apply.)

Restricting airplane travel

Limiting social activities to twice a week

Time constraints

Driving restrictions

Restricting fluid intake

Restricting foods high in potassium, sodium, and phosphorus

Answer and Explanation

Correct Answer : C,D,E,F

A. Restricting airplane travel is not typically a restriction for clients undergoing hemodialysis. With appropriate planning, travel can still be possible, though it may require adjustments such as scheduling dialysis treatments while traveling. Therefore, it may not have a major impact on quality of life for most clients.
B. Limiting social activities to twice a week is not a typical restriction associated with hemodialysis. Although dialysis treatments may limit the time available for activities, it does not specifically limit social interactions to twice a week unless the client’s health deteriorates.
C. Time constraints are a significant concern. Hemodialysis typically requires the client to spend several hours (usually 3-5 hours) per session, 3 times a week, which can disrupt daily routines, work, and personal activities. This can impact the client’s quality of life.
D. Driving restrictions may apply. Many clients on hemodialysis are advised not to drive immediately after dialysis treatments due to potential fatigue, dizziness, or changes in blood pressure. This can impact the client's ability to travel independently and manage daily activities.
E. Restricting fluid intake is a common and critical aspect of hemodialysis. Clients with end-stage kidney disease need to be very careful about how much fluid they consume because their kidneys cannot excrete excess fluid effectively. This restriction can lead to discomfort and can significantly impact quality of life.
F. Restricting foods high in potassium, sodium, and phosphorus is important for clients with end-stage kidney disease undergoing hemodialysis. These dietary restrictions help maintain electrolyte balance and prevent complications like hyperkalemia and hyperphosphatemia, which can be life-threatening. However, adhering to these dietary restrictions can impact social and cultural aspects of the client's life and overall enjoyment of food.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Malignant hypertension is a hypertensive emergency characterized by extremely high blood pressure with end-organ damage. It is not typically associated with diabetic ketoacidosis (DKA), which more commonly presents with hypotension due to dehydration.
B. Acetone odor to breath is a hallmark sign of DKA. It results from the buildup of ketones (especially acetone) in the blood due to the breakdown of fat for energy when insulin is insufficient. This gives the breath a characteristic fruity or nail-polish-like odor.
C. Cheyne-Stokes breathing is a pattern of periodic breathing often seen in neurologic or end-of-life conditions, not typically associated with DKA. In DKA, Kussmaul respirations—deep and rapid breathing—are more characteristic as the body attempts to compensate for metabolic acidosis.
D. Blood glucose level below 40 mg/dL indicates severe hypoglycemia, which is the opposite of DKA. DKA typically presents with hyperglycemia, usually with blood glucose levels above 250 mg/dL.

A. 1 tsp sugar B. Graham crackers C. 4 oz skim milk D. 4 oz diet soda

Correct Answer is C

Explanation

A. 1 tsp sugar is not enough to raise blood glucose levels quickly enough. A more substantial amount of carbohydrates is required to treat hypoglycemia effectively.
B. Graham crackers contain complex carbohydrates, which would be too slow to raise blood sugar levels in this situation. Fast-acting carbohydrates are needed for prompt relief of hypoglycemia.
C. 4 oz skim milk is the correct option. Milk contains both lactose (a sugar) and protein, which provides a good balance for quickly raising blood sugar and sustaining it. 4 oz of skim milk typically contains about 15 grams of carbohydrates, which is the recommended amount for treating hypoglycemia.
D. 4 oz diet soda is incorrect. Diet soda contains no sugar and will not help raise blood glucose levels. It may be refreshing but won't treat hypoglycemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?(Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?

Correct Answer is C

Explanation

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?

A nurse is admitting a client to the mental health unit. Exhibits The nurse is developing a plan of care for the client. Which of the following interventions should the nurse include? (Select all that apply.)

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

What is the priority of care for a patient with Cushing's syndrome?

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?