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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.
Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.
Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.
Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because, during dehydration, water does not move towards areas of lower sodium concentration.
Choice B reason: This is correct because, during dehydration, the body retains sodium, and water follows by osmosis to areas where sodium concentration is higher, which can result in elevated sodium levels.
Choice C reason: Sodium does not typically move across membranes in response to solute concentration gradients; water does.
Choice D reason: Water moves independently of sodium particles, not necessarily together, and it moves towards areas of higher solute concentration.
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