A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
Limit protein intake.
Increase phosphorus intake.
Increase potassium intake.
Limit calcium intake.
The Correct Answer is A
A. Limiting protein intake is important for individuals with chronic kidney disease to reduce the workload on the kidneys and minimize the accumulation of waste products in the blood. High protein intake can accelerate the progression of kidney damage.
B. Increasing phosphorus intake is not recommended for individuals with chronic kidney disease, as impaired kidney function can lead to elevated phosphorus levels in the blood, which can contribute to complications such as bone disease and cardiovascular issues.
C. Increasing potassium intake is typically not advised for individuals with chronic kidney disease, especially if they have elevated potassium levels (hyperkalemia), as this can further stress the kidneys and increase the risk of cardiac arrhythmias.
D. Limiting calcium intake may be necessary for individuals with certain types of kidney stones, but it is not a general recommendation for all individuals with chronic kidney disease. In fact, calcium is important for bone health, and individuals with chronic kidney disease are at
increased risk of bone mineral disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Parkinson's disease and monoamine oxidase inhibitors (MAOIs) do not typically require a reduction in intake of high-calorie foods. In fact, maintaining adequate nutrition and calorie intake is important for individuals with Parkinson's disease.
B. Grapefruit is not typically contraindicated with monoamine oxidase inhibitors. However, it's important for the client to discuss any potential interactions between grapefruit and their specific medication with their healthcare provider.
C. Aged cheeses contain tyramine, a substance that can interact with MAOIs and lead to hypertensive crisis. Therefore, individuals taking MAOIs should avoid aged cheeses to prevent this interaction.
D. Maintaining a low-protein diet is not typically recommended for individuals with Parkinson's disease or those taking MAOIs. In fact, adequate protein intake is important for overall health and muscle function.
Correct Answer is A
Explanation
A. Providing a nonskid placemat can help prevent spills and accidents during meals, especially for a client with right-sided weakness who may have difficulty with coordination and balance.
B. Instructing the client to tilt their head back when swallowing is not recommended and may increase the risk of aspiration, particularly for a client with dysphagia.
C. Instructing the client to chew food on the right side of their mouth may not be feasible or effective, especially if there is weakness on the right side.
D. Providing narrow-grip utensils may not directly address the client's needs related to dysphagia and right-sided weakness.
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