A nurse is providing education to a client with acute kidney injury. Which of the following statements accurately describes the diet restrictions for this client? The client should:
maintain protein intake to 20 grams per day.
increase sodium intake to promote fluid balance.
limit fluid intake to prevent overload.
avoid potassium-rich foods to prevent hyperkalemia.
The Correct Answer is D
A: While protein intake may need to be restricted in some cases of kidney injury, the exact amount will vary based on the severity of the injury and the provider's recommendations. It's not typically as low as 20 grams per day for all cases.
B: Increasing sodium intake is generally not recommended for kidney injury; sodium retention is a concern in kidney dysfunction and fluid overload.
C: Limiting fluid intake is usually necessary to prevent fluid overload, which is a common concern in kidney injury.
D: Potassium-rich foods should be avoided in acute kidney injury to prevent hyperkalemia, as the kidneys may struggle to excrete potassium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Clients do not need to lie down for CAPD; it's designed to be done during normal daily activities.
B. Strict hand hygiene is vital to prevent peritonitis, a major complication.
C. CAPD typically requires multiple exchanges per day, not just once at bedtime.
D. Monitoring blood pressure helps detect volume imbalances and guides fluid management.
E. Daily weight monitoring is essential to assess fluid retention or excessive fluid removal.
Correct Answer is B
Explanation
A: Refers to fluid retention, but in PKD, it’s cystic enlargement, not generalized fluid accumulation in the abdomen.
B: PKD is characterized by multiple fluid-filled cysts that cause kidneys to enlarge, contributing to abdominal distention or girth.
C: Describes hydronephrosis or severe infection, but that’s not specific to PKD's typical cause of abdominal enlargement.
D: Obstructive uropathy might cause backup, but wouldn’t explain chronic progressive abdominal girth in PKD.
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