A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

"I will enjoy eating cantaloupe for my morning snack."

"I can easily add baked potatoes to my diet."

"Eating yogurt will be a new experience."

"Adding pecans will be a change I can readily make."

Answer and Explanation

The Correct Answer is D

Choice A rationale: Cantaloupe is high in potassium. Clients with acute kidney injury (AKI) have impaired potassium excretion, and consuming high-potassium foods increases the risk of hyperkalemia, which can lead to cardiac arrhythmias.

Choice B rationale: Baked potatoes contain significant potassium, especially in the skin. In AKI, potassium retention is dangerous, so this choice reflects poor understanding of dietary restrictions for renal safety.

Choice C rationale: Yogurt is rich in potassium and phosphorus. In AKI, both electrolytes may accumulate due to reduced renal clearance, making yogurt an inappropriate choice without close monitoring.

Choice D rationale: Pecans are low in potassium, making them a safer snack for clients with AKI. Choosing low-potassium foods demonstrates appropriate understanding of renal dietary management.

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Correct Answer is A

Explanation

Choice A reason: A distended bladder can cause low back pain due to the pressure and stretching of the bladder wall, which is often related to a urinary disorder such as urinary retention or obstruction.

Choice B reason: A stress fracture is less likely to be the cause of low back pain associated with an inability to void and a distended bladder.

Choice C reason: Nerve root pain typically presents with radiating pain down the leg rather than low back pain associated with urinary symptoms.

Choice D reason: Renal cancer could potentially cause low back pain, but it would not typically cause an inability to void or a distended bladder without other significant symptoms.

A. Hyperkalemia B. Hypokalemia C. Hypomagnesemia D. Hypermagnesemia

Correct Answer is B

Explanation

Choice A reason: Hyperkalemia is not typically associated with corticosteroid therapy. Corticosteroids can lead to increased excretion of potassium, not retention.

Choice B reason: Hypokalemia is a common side effect of corticosteroid therapy due to increased excretion of potassium in the urine.

Choice C reason: Hypomagnesemia is not commonly associated with corticosteroid therapy.

Choice D reason: Hypermagnesemia is not typically induced by corticosteroid therapy.

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A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?

Correct Answer is A

Explanation

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Correct Answer is B

Explanation

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