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 calcium intake.
Limit protein intake.
Increase phosphorus intake.
Increase potassium intake.
The Correct Answer is B
Limiting protein intake is an important dietary modification for clients with chronic kidney disease. High protein intake can increase the workload on the kidneys and lead to further decline in kidney function. Restricting protein intake helps reduce the accumulation of waste products in the blood, such as urea and creatinine, which are normally eliminated by the kidneys. The specific amount of protein restriction will depend on the stage of CKD and the client's individual needs. It is important for the client to work with a registered dietitian who specializes in kidney disease to determine the appropriate protein intake.
Limit calcium intake: Calcium intake does not need to be limited unless there are specific complications related to calcium metabolism, such as hypercalcemia or certain types of kidney stones. Calcium is important for bone health, and adequate intake should be maintained unless otherwise directed by the healthcare provider.
Increase potassium intake: In most cases of chronic kidney disease, potassium intake needs to be limited. Damaged kidneys may have difficulty regulating potassium levels, and high levels of potassium in the blood can be dangerous. The client should be instructed to limit potassium intake and avoid high-potassium foods, such as bananas, oranges, tomatoes, and potatoes, unless specifically advised otherwise by their healthcare provider.
Increase phosphorus intake: Phosphorus intake needs to be restricted in chronic kidney disease, especially in later stages. Elevated levels of phosphorus in the blood can lead to bone and cardiovascular complications. The client should be educated on foods that are high in phosphorus, such as dairy products, nuts, and cola drinks, and instructed to limit their intake
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Administer antiemetics on a schedule. Antiemetics are medications used to prevent or relieve nausea and vomiting. By administering them on a schedule, the nurse can help manage and control the client's nausea more effectively.
Providing a snack 30 minutes before treatments is not an appropriate intervention for nausea associated with radiation therapy. In fact, eating before radiation therapy may worsen nausea in some individuals. It is generally recommended to have a light meal or snack a few hours before the treatment to avoid an empty stomach but also prevent overeating that can trigger nausea.
Ensuring foods are served hot is not a recommended intervention for nausea. In fact, hot foods may exacerbate nausea in some individuals. It is advisable to serve foods at a cooler or room temperature, as cooler foods may be better tolerated.
Serving low carbohydrate meals is not specific to managing nausea associated with radiation therapy. While some individuals may find low carbohydrate meals easier to digest, there is no strong evidence suggesting that they alleviate nausea specifically. The choice of meals should be based on the client's preferences, tolerance, and any dietary restrictions they may have.
Correct Answer is C
Explanation
"I should limit the amount of fiber in my diet": This statement demonstrates an understanding of the teaching. In Crohn's disease, certain types of fiber can be difficult to digest and may worsen symptoms such as abdominal pain, diarrhea, and bowel obstruction. Therefore, it is often recommended to limit the intake of high-fiber foods during active disease flares.
"I will need to take mild laxatives to help me have a bowel movement": Taking laxatives is not typically recommended for individuals with Crohn's disease unless specifically prescribed by a healthcare provider. Laxatives can further irritate the intestines and potentially worsen symptoms. Therefore, this statement does not demonstrate an understanding of the teaching.
"I am likely to gain weight due to this disease": Weight loss is a more common occurrence in individuals with Crohn's disease due to factors such as decreased appetite, malabsorption, and increased metabolism. Weight gain is not typically associated with the disease, so this statement does not indicate an understanding of the teaching.
"Avoiding glutamine will help me recover from this disease": Glutamine is an amino acid that plays a role in gut health and repair. It is often considered beneficial for individuals with Crohn's disease as it supports intestinal healing. Therefore, avoiding glutamine would not be recommended for recovery from the disease. This statement does not indicate an understanding of the teaching.
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