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 potassium intake.
Limit calcium intake.
Increase phosphorus intake.
The Correct Answer is A
Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice D rationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice C rationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice Arationale:
Applying low intermittent suction is used for nasogastric tube management to remove excess air or gastric contents and is not directly related to addressing cramping and abdominal distention. This action doesn't address the underlying issue.
Choice Brationale:
Increasing the rate of feeding is not the appropriate action to take in response to cramping and abdominal distention. It might worsen the discomfort and potentially overload the client's gastrointestinal system, leading to more issues.
Choice C rationale:
(Correct Choice) Checking for gastric residual is the appropriate action in this scenario. Cramping and abdominal distention can indicate delayed gastric emptying, which might be caused by an accumulation of feeding within the stomach. By checking for gastric residual, the nurse can assess whether there is a significant amount of residual feeding present, which might require adjusting the feeding rate or intervention.
Choice D rationale:
Requesting a higher-fat formula is not the initial action to take when the client reports cramping and abdominal distention. It assumes that the discomfort is due to the formula's composition, which might not be the case. First, assessing for gastric residual and considering other factors is important before changing the formula.
Correct Answer is C
Explanation
Choice A rationale:
Cucumbers Cucumbers are not relevant to the client's medication regimen. There is no specific interaction between cucumbers and digoxin or furosemide that would require their consumption or avoidance.
Choice B rationale:
Blueberries Similarly, blueberries do not have any specific interaction with digoxin or furosemide. They are not a necessary or contraindicated food item for this client.
Choice C rationale:
Bananas The nurse should instruct the client to consume bananas. Bananas are a good dietary source of potassium. Furosemide is a loop diuretic that can cause potassium depletion, so it's important for the client to maintain adequate potassium levels. Digoxin can also affect potassium levels, potentially leading to an increased risk of digoxin toxicity if potassium is too low. Including potassium-rich foods like bananas can help mitigate these risks and maintain proper electrolyte balance.
Choice D rationale:
Green beans While green beans are a nutritious vegetable, they do not have a direct relevance to the client's medication regimen. They are not specifically indicated or contraindicated in the context of digoxin and furosemide use.
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