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?

"A low-protein diet reduces the risk for edema."

"A low-protein diet will reduce the risk for hyperkalemia

"A low-protein diet will increase the nitrogenous wastes in the blood."

"A low protein diet reduces the risk for uremia."

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

A. Furosemide use is more commonly associated with hyponatremia rather than hypernatremia due to its diuretic effect.
B. Furosemide does not typically cause hypercalcemia; instead, it may lead to hypocalcemia.
C. Hyperchloremia is not a primary concern with furosemide, as the drug can cause a loss of chloride ions alongside sodium.
D. Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.

A. Lung cancer B. Osteoarthritis C. Dyspepsia D. Liver cirrhosis

Correct Answer is A

Explanation

A. Certain malignancies, particularly lung cancer, can produce ectopic antidiuretic hormone (ADH) or ADH-like substances, leading to SIADH. It's important to inquire about a history of lung cancer due to its association with SIADH.

B. Osteoarthritis is a degenerative joint disease and is not known to cause SIADH.

C. Dyspepsia refers to upper gastrointestinal discomfort and is not associated with SIADH.

D. Liver cirrhosis can lead to various complications, including hepatic encephalopathy and ascites, but it is not typically associated with SIADH.

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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?

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Correct Answer is D

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