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 C
Explanation
A. Incorrect. Antibiotics are generally safe and are not known to be a risk factor for chronic renal failure.
B. Incorrect. Antihypertensive medications are essential for managing high blood pressure and reducing the risk of kidney damage in individuals with hypertension. They are not considered a risk factor for chronic renal failure.
C. Correct. Proton pump inhibitors (PPIs) are commonly used to treat conditions such as acid reflux and peptic ulcers. Prolonged and high-dose use of PPIs has been associated with an increased risk of kidney disease, including acute interstitial nephritis and chronic kidney disease.
D. Incorrect. Antipyretics such as acetaminophen are generally safe when used appropriately and are not considered a risk factor for chronic renal failure.
Correct Answer is D
Explanation
A. Incorrect. Proteinuria, or the presence of excessive protein in the urine, may be a symptom of kidney dysfunction, but it is not directly related to periorbital edema and swelling of the ankles and feet.
B. Incorrect. Hypokalemia, or low potassium levels, may cause muscle weakness and other symptoms but is not associated with the specific edema described.
C. Incorrect. Hypernatremia, or high sodium levels, may lead to symptoms such as thirst and confusion but does not typically cause peripheral edema.
D. Correct. Periorbital edema (swelling around the eyes) and edema in the ankles and feet are classic signs of fluid overload in chronic renal failure. The impaired kidney function in chronic renal failure leads to the retention of fluid and sodium in the body, resulting in edema.
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