A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?
Increase consumption of dairy products high in potassium.
Include more fruits and vegetables in the diet.
Limit the intake of nuts and seeds.
Replace red meat with poultry in meals.
The Correct Answer is C
A. Incorrect. Dairy products are high in potassium and should be limited in clients at risk for hyperkalemia.
B. Incorrect. Fruits and vegetables are also high in potassium and should be limited in clients with chronic renal failure and hyperkalemia risk.
C. Correct. Nuts and seeds are rich sources of potassium and should be restricted in the diet of clients at risk for hyperkalemia.
D. Incorrect. Poultry is a good protein source, but the type of protein is not the main concern for clients at risk for hyperkalemia; it is the overall potassium content of the diet that needs to be reduced.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.
B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.
C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.
D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.
Correct Answer is A
Explanation
A. Correct. Peripheral neuropathy, characterized by tingling sensations or "pins and needles" in the hands and feet, is a common neurological complication of chronic renal failure. Uremic toxins build up in the blood when the kidneys are unable to adequately filter waste products, leading to nerve damage and peripheral neuropathy.
B. Incorrect. Increased blood flow to the extremities is not typically associated with the "pins and needles" sensation described by the client.
C. Incorrect. Adequate nerve conduction related to calcium levels would not cause the "pins and needles" sensation; instead, disturbances in calcium levels can lead to other neurological symptoms.
D. Incorrect. Hypokalemia, or low potassium levels, can cause muscle weakness or cramps but is not typically associated with peripheral neuropathy.
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