A nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?
"Limiting potassium intake helps prevent dehydration and electrolyte imbalances."
"Reducing potassium intake supports healthy kidney function and minimizes the risk of fluid retention."
"Limiting potassium is essential to avoid bone health issues and fractures."
"Reducing potassium intake helps prevent dangerous heart rhythms and muscle weakness."
The Correct Answer is D
A. This statement is incorrect. Limiting potassium intake is not primarily related to preventing dehydration and electrolyte imbalances.
B. This statement is incorrect. While reducing potassium intake can be beneficial for kidney function, it is not the primary reason for limiting potassium in clients with ESRD.
C. This statement is incorrect. Although adequate calcium intake is essential for bone health, it is not the main reason for limiting potassium in ESRD clients.
D. This statement is correct. Clients with ESRD have impaired kidney function, which can lead to decreased potassium excretion. Excess potassium in the bloodstream can result in dangerous heart rhythm disturbances (arrhythmias) and muscle weakness. Limiting dietary potassium helps prevent these complications and maintain a safe level of potassium in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This option is not appropriate. Encouraging the client to avoid researching their condition and treatments may lead to increased anxiety due to lack of knowledge and understanding.
B. This option is correct. Deep breathing exercises and mindfulness techniques are evidence-based strategies to manage anxiety and stress during medical appointments. These techniques can help the client stay calm and focused during discussions with healthcare providers.
C. This option is not helpful. Limiting interactions with healthcare providers may result in inadequate support and education for the client, leading to increased anxiety and uncertainty.
D. This option is not appropriate. Encouraging the client to stop discussing their concerns with family members can isolate the client emotionally and prevent them from receiving much-needed emotional support.
Correct Answer is A
Explanation
A. This is correct. Polycystic kidney disease (PKD. is a genetic disorder, and individuals with a family history of PKD have a higher risk of developing the condition. It can be inherited from one or both parents, and the mutated gene responsible for PKD affects the development of fluid-filled cysts in the kidneys.
B. This is incorrect. While exposure to certain environmental toxins can contribute to kidney damage, it is not the cause of PKD.
C. This is incorrect. PKD is not an autoimmune disorder; it is a genetic disorder characterized by the growth of cysts in the kidneys.
D. This is incorrect. PKD is not caused by chronic kidney infections; it is a genetic condition that results in the formation of cysts within the kidney tissue.
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