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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is incorrect. Peritoneal dialysis is typically performed at home, providing more flexibility and convenience for clients compared to hemodialysis, which requires regular visits to a dialysis center.
B. This is correct. Peritoneal dialysis is performed at home, which allows clients to have more control over their treatment schedule. It can be done during the day or overnight, providing greater flexibility for clients to continue with their daily activities.
C. This is incorrect. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, not the bladder. The catheter allows the dialysis solution to be infused and drained from the peritoneal cavity.
D. This is incorrect. While peritoneal dialysis does carry some risk of infection, it is generally considered to have a lower risk of infection compared to hemodialysis, where blood is exposed to an external machine.
Correct Answer is B
Explanation
A. This is incorrect. While adequate fluid intake is essential for kidney health, increasing fluid intake is not a solution for worsening kidney function. The client should follow the healthcare provider's recommendations for fluid intake based on their kidney function and medical history.
B. This is correct. NSAIDs, such as ibuprofen and naproxen, can be harmful to the kidneys, especially when used for extended periods or in high doses. Avoiding these medications can help protect the kidneys and prevent further damage, especially in individuals with chronic kidney disease.
C. This is incorrect. Regularly consuming foods high in potassium can be detrimental to individuals with compromised kidney function. High potassium levels can be harmful to the kidneys, and clients with kidney disease may need to restrict their potassium intake to protect their kidneys.
D. This is incorrect. High-intensity exercise may not be suitable for all individuals with kidney disease, and the client should consult their healthcare provider before engaging in any exercise program. While regular physical activity can be beneficial for overall health, the type and intensity of exercise should be individualized based on the client's medical condition and fitness level.
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