A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

"I will put beverages in large containers to give the appearance of drinking a lot.”.

"I should consume most of the fluid during the evening.”.

"I will make a list of my favorite beverages.”.

"I will not add ice cream to the amount of fluid intake.”.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C: "I will make a list of my favorite beverages."

Choice A rationale: Stating that they will put beverages in large containers to give the appearance of drinking a lot demonstrates a lack of understanding of fluid restriction guidelines. It focuses on the appearance rather than the actual fluid intake limitation. This statement does not reflect an understanding of the need to limit fluids in acute kidney disease.

Choice B rationale: Consuming most fluids during the evening is not recommended for clients with acute kidney disease as it may lead to discomfort, nighttime urination, and fluid overload. This statement does not demonstrate an understanding of the importance of spreading fluid intake throughout the day.

Choice C rationale: Making a list of favorite beverages indicates the client's understanding of fluid restrictions. This approach can help the client prioritize their preferred beverages while staying within their prescribed fluid allowance. It shows that the client is aware of the need to be selective in their fluid intake.

Choice D rationale: Although avoiding ice cream is an appropriate action due to its contribution to fluid intake, this statement alone does not necessarily indicate a comprehensive understanding of fluid restrictions. The client must also be aware of the importance of monitoring all sources of fluid intake, including other foods and beverages.

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Correct Answer is B

Explanation

Choice A rationale:
This statement describes a skin graft, not an escharotomy.
Choice B rationale:
An escharotomy involves making large incisions in the eschar (burned tissue) to relieve pressure and improve circulation to the area.
Choice C rationale:
This statement describes debridement, which is the removal of dead tissue, but it is not specific to an escharotomy.
Choice D rationale:
This statement describes a method of debridement, not an escharotomy.

A. "Cardiac enzymes will identify the location of the MI.”. B. "These tests will enable the provider to determine the heart structure and mobility of the heart valves.”. C. "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion.”. D. "These tests help determine the degree of damage to the heart tissues.”.

Correct Answer is D

Explanation

Choice A rationale:
Cardiac enzymes do not identify the location of the MI, they are biomarkers that indicate heart muscle injury.
Choice B rationale:
Cardiac enzyme tests do not provide information about the heart’s structure or the mobility of the heart valves. That’s typically assessed using imaging studies like an echocardiogram.
Choice C rationale:
Cardiac enzymes do not assist in diagnosing the presence of pulmonary congestion. They are specific to heart muscle damage.
Choice D rationale:
Cardiac enzymes, such as troponin and creatine kinase, rise when there is damage to the heart muscle, such as in an MI. Therefore, these tests help determine the degree of damage to the heart tissues.

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A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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