A nurse is obtaining a nutritional history from a client who has a new diagnosis of chronic kidney disease. Which of the following client statements indicates additional teaching is needed?
"I don't add salt to my food anymore."
"I read nutrition labels before I buy something."
"I'm eating larger portions of meat."
"I've started using olive oil instead of butter."
The Correct Answer is C
A. "I don't add salt to my food anymore.": Limiting sodium intake is appropriate for clients with chronic kidney disease (CKD) to help manage fluid retention and blood pressure. This statement reflects proper understanding and does not require additional teaching.
B. "I read nutrition labels before I buy something.": Reading nutrition labels helps clients monitor sodium, potassium, phosphorus, and protein intake, which is essential in CKD management. This demonstrates effective self-management and does not require further teaching.
C. "I'm eating larger portions of meat.": Consuming large portions of meat increases protein and phosphorus intake, which can worsen kidney function and complicate CKD management. This statement indicates a misunderstanding of dietary restrictions, and additional teaching is needed about appropriate protein portion sizes.
D. "I've started using olive oil instead of butter.": Replacing butter with olive oil is appropriate, as it provides healthier fats that do not contribute to hyperphosphatemia or cardiovascular risk. This reflects correct dietary adaptation and does not require further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morphine 2 mg IV bolus every 4 hr PRN pain: The prescription clearly indicates the dose, route, frequency, and PRN instructions, making it complete and appropriate for administration.
B. Acetaminophen 1,000 PO three times daily: The prescription is missing the unit of measure (mg, g, etc.), which is essential to ensure safe dosing. Without the unit, there is a risk of overdose or underdose, so the nurse must verify this prescription with the provider before administration.
C. Ibuprofen 800 mg PO every 8 hr: This prescription includes the dose, route, and frequency, making it complete. While monitoring for side effects is important, there is no issue requiring verification.
D. Ceftriaxone 250 mg IM x1 dose now: The prescription specifies the dose, route, and single administration, making it clear and safe to administer without additional verification.
Correct Answer is B
Explanation
A. Heart rate 190/min: A normal newborn heart rate ranges from 120 to 160 beats per minute. A heart rate of 190/min is tachycardic and is above the expected range for a healthy newborn.
B. Irregular respirations: Newborns often exhibit irregular respirations with periods of rapid breathing followed by pauses. This pattern is expected in the first few hours after birth and usually does not indicate distress if oxygen saturation is normal.
C. Central cyanosis: Central cyanosis, including blue lips or tongue, is abnormal and may indicate hypoxemia or congenital heart or respiratory issues. Normal newborns may show brief acrocyanosis of hands and feet but not central cyanosis.
D. Temperature of 38.2° C (100.8° F): A normal newborn temperature ranges from 36.5° C to 37.5° C (97.7° F to 99.5° F). A temperature of 38.2° C is elevated and may indicate infection or overheating.
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