A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Sodium

Iron

Potassium

Protein

Answer and Explanation

The Correct Answer is B

A.   Increasing sodium intake is generally not recommended in chronic kidney disease, as it can exacerbate hypertension and fluid retention.
B.   Epoetin alfa is a medication used to treat anemia associated with chronic kidney disease, and iron supplementation is often necessary to support erythropoiesis.
C.   Potassium intake may need to be restricted in chronic kidney disease, especially in later stages when kidney function declines.
D.   Protein intake may need to be adjusted in chronic kidney disease, but it's not directly related to the prescription of epoetin alfa.

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Correct Answer is B

Explanation

A. Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B. Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C. Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D. Administering insulin is not indicated for respiratory alkalosis and hyperventilation.

A. "A low-protein diet reduces the risk for edema." B. "A low-protein diet will reduce the risk for hyperkalemia C. "A low-protein diet will increase the nitrogenous wastes in the blood." D. "A low protein diet reduces the risk for uremia."

Correct Answer is D

Explanation

A. Edema in chronic kidney failure is more closely associated with sodium and water retention rather than protein intake.
B. Hyperkalemia in chronic kidney failure can be managed by restricting dietary potassium intake, but it is not primarily related to protein intake.
C. A low-protein diet aims to decrease, not increase, nitrogenous wastes in the blood.
D. A low-protein diet reduces the risk for uremia, a condition resulting from chronic kidney failure where urea and other waste products build up in the body due to impaired renal function. A low-protein diet helps decrease the workload on the kidneys by reducing the amount of nitrogenous waste they need to filter and excrete.

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A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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