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. While setting goals is important, simply stating this without providing practical strategies may not address the client's specific challenges with weight loss.
B. Eating small portions of high-calorie foods first may not be an effective weight loss strategy, as it does not address overall caloric intake or food choices.
C. Self-monitoring eating behaviors, such as keeping a food diary or tracking portion sizes, can help individuals become more aware of their eating habits and identify areas for improvement when trying to lose weight.
D. Tasting food while cooking may not necessarily curb appetite and could potentially lead to increased calorie consumption if the individual ends up eating more during meal preparation.
Correct Answer is C
Explanation
A. Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B. Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C. Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D. Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.
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