A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy?
Controlling hypertension
Limiting protein intake
Voiding every 2 hr
Decreasing potassium intake
The Correct Answer is A
Rationale:
A. Controlling hypertension: Controlling hypertension is a key strategy in preventing diabetic nephropathy. High blood pressure can damage the blood vessels in the kidneys, leading to nephropathy. Strict blood pressure control is crucial for kidney protection in clients with diabetes.
B. Limiting protein intake: Limiting protein intake may be beneficial for individuals with advanced kidney disease, but it is not a primary prevention strategy for nephropathy in clients with diabetes. Early prevention focuses more on blood sugar and blood pressure control.
C. Voiding every 2 hr: Frequent urination or maintaining a specific voiding schedule is not a primary method for preventing nephropathy. The focus should be on managing blood glucose and blood pressure to prevent kidney damage over time.
D. Decreasing potassium intake: Decreasing potassium intake is generally not a necessary measure for preventing nephropathy unless kidney function is impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Keep the casted leg flat for the first 24 hr: The casted leg should not be kept flat for the first 24 hours. Elevating the leg above the heart is important to reduce swelling and promote circulation. Keeping it flat could increase swelling and discomfort.
B. Report any drainage from the casted leg: It is important to report any drainage from the cast, as it could indicate infection or complications, such as a wound underneath the cast. Drainage, especially if it is blood-tinged or excessive, requires prompt evaluation.
C. Apply a heating pad to the casted leg: Applying a heating pad is not recommended as it could increase swelling or cause burns. It is important to keep the cast cool and dry and avoid applying heat, which could affect the skin or underlying tissue.
D. Use a cotton-tip applicator to relieve itching inside the cast: Using a cotton-tip applicator can be harmful because it might push debris deeper into the cast, increasing the risk of infection or injury.
Correct Answer is C
Explanation
Rationale:
A. Pink-tinged urine: Pink-tinged urine can be a normal finding after a transurethral resection of the prostate (TURP), as it is expected due to the presence of blood in the urine from the procedure. It should improve over time as the bleeding subsides.
B. Moderate pain: Moderate pain is common following TURP, and it typically resolves with appropriate pain management. However, it should still be monitored and managed appropriately.
C. Decreased urinary output: Decreased urinary output is concerning after TURP and could indicate an obstruction, clot retention, or inadequate irrigation flow. This requires immediate attention and should be reported to the provider.
D. Client urge to void: The urge to void after TURP is normal and may occur as the bladder is healing. It may also result from the presence of the catheter. This is not a cause for concern unless accompanied by other signs of complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.