A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Decrease protein intake.
Decrease carbohydrate intake.
Increase potassium intake.
Increase phosphorus intake.
The Correct Answer is A
A) Decreasing protein intake is often recommended for clients with nephrotic syndrome to reduce proteinuria and slow the progression of kidney damage.
B) Decreasing carbohydrate intake is not typically a focus of dietary recommendations for nephrotic syndrome.
C) Increasing potassium intake may not be appropriate, as clients with nephrotic syndrome may be at risk of hyperkalemia due to impaired kidney function.
D) Increasing phosphorus intake is not typically indicated and may exacerbate complications associated with kidney dysfunction in nephrotic syndrome.
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Related Questions
Correct Answer is D
Explanation
A) Instructing the client to sit on a rubber ring may provide comfort for those with hemorrhoids or perineal discomfort but is not directly related to managing hemiplegia.
B) Raising the head of the client's bed to a 90° angle may be uncomfortable and may not address the specific needs related to hemiplegia.
C) Using moisturizing lotion while massaging the client's bony prominences is important for skin integrity but does not directly address the positioning needs of a client with hemiplegia.
D) Placing pillows between the client's knees when in a side-lying position helps maintain proper alignment, prevents pressure ulcers, and promotes comfort for the client with hemiplegia.
Correct Answer is B
Explanation
A. Changing dressings is important but not the priority over assessing cardiac status in an electrical shock injury.
B. Obtaining an ECG is the priority to assess for any cardiac dysrhythmias, which can be immediate and life-threatening consequences of electrical shock injuries.
C. Administering pain medication can be done once the client's cardiac status has been evaluated and stabilized.
D. While maintaining adequate urine output is important, assessing cardiac status takes precedence.
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