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 A

Explanation

A. Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate remains decreased during the oliguric phase.

A. Metabolic Acidosis, Uncompensated B. Respiratory Alkalosis. Partially Compensated C. Respiratory Acidosis. Uncompensated D. Metabolic Alkalosis. Partially Compensated

Correct Answer is C

Explanation

A. Metabolic Acidosis, Uncompensated, is ruled out because the elevated PaCO2 and low pH indicate a respiratory problem rather than a metabolic one.
B. Respiratory Alkalosis. Partially Compensated is ruled out because the pH and PaCO2 levels are both abnormal and indicate acidosis rather than alkalosis.
C. The low pH (acidosis) along with the high PaCO2 indicate respiratory acidosis, and there is no evidence of compensation by the kidneys (normal HCO3).
D. Metabolic Alkalosis. Partially Compensated, is ruled out because the pH is low (acidosis) rather than high (alkalosis), and the PaCO2 is elevated, suggesting a respiratory problem rather than a metabolic one.

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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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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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