A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Use several different scales to obtain the weight.

Weigh at the same time each day.

Calibrate weight scales every week.

Measure weight just prior to voiding.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Using several different scales to obtain the weight is incorrect. Consistency is key when monitoring weight, especially for clients with chronic kidney disease. Using the same scale ensures that weight measurements are accurate and comparable over time. Different scales may have slight variations, leading to inconsistent and unreliable data.
Choice B rationale
Weighing at the same time each day is correct. It is important to weigh at the same time each day, preferably in the morning after voiding and before eating, to obtain consistent and accurate measurements. This helps in monitoring fluid retention and changes in body weight, which are critical for managing chronic kidney disease.
Choice C rationale
Calibrating weight scales every week is not necessary. While it is important to ensure that the scale is accurate, weekly calibration is excessive. Regular calibration according to the manufacturer’s instructions or as needed is sufficient to maintain accuracy. Over-calibration can be time-consuming and may not significantly improve measurement accuracy.
Choice D rationale
Measuring weight just prior to voiding is incorrect. Weighing after voiding provides a more accurate measurement of body weight without the influence of bladder contents. This is especially important for clients with chronic kidney disease, as fluid balance and retention are closely monitored.

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Correct Answer is D

Explanation

Choice A rationale
Maintaining a low carbohydrate diet is not specifically recommended for clients with chronic kidney disease (CKD). Instead, the focus is on managing protein, sodium, potassium, and phosphorus intake to prevent further kidney damage and manage symptoms.
Choice B rationale
Eliminating ingestion of foods high in protein is incorrect. While protein intake should be moderated, it should not be completely eliminated. Clients with CKD are advised to consume a controlled amount of high-quality protein to reduce the burden on the kidneys while ensuring adequate nutrition.
Choice C rationale
Increasing intake of sodium-containing food is incorrect. Clients with CKD should restrict sodium intake to help control blood pressure and prevent fluid retention, which can exacerbate kidney damage.
Choice D rationale
Reducing intake of foods high in potassium is correct. Clients with CKD often have difficulty excreting potassium, leading to hyperkalemia, which can be dangerous. Therefore, it is important to limit foods high in potassium.

A. High-purine diet. B. Female gender. C. Dehydration. D. Family history.

Correct Answer is C

Explanation

Choice A rationale
A high-purine diet can lead to the formation of uric acid stones, which are a type of kidney stone. However, it is not the most common risk factor for urolithiasis. Urolithiasis is more commonly associated with factors such as dehydration, which leads to concentrated urine and promotes stone formation.
Choice B rationale
Female gender is not a significant risk factor for urolithiasis. In fact, men are more likely to develop kidney stones than women. The higher incidence in men is thought to be related to differences in diet, fluid intake, and urinary tract anatomy.

Choice C rationale
Dehydration is a major risk factor for urolithiasis. When the body is dehydrated, urine becomes more concentrated, which increases the likelihood of stone formation. Adequate hydration helps to dilute the urine and reduce the risk of stone formation.
Choice D rationale
Family history is a known risk factor for urolithiasis. Individuals with a family history of kidney stones are more likely to develop them due to genetic predispositions that affect factors such as urine composition and kidney function.

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A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following risk factors should the nurse identify as contributing?

Correct Answer is C

Explanation

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