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 D
Explanation
Choice A rationale:
Cheddar cheese does not contain a significant amount of potassium. It is a dairy product that is richer in calcium and fat than in potassium.
Choice B rationale:
Raw tomato contains some potassium, but it's not as high as the other options. It's a good source of vitamins and antioxidants, but for hypokalemia, more potassium-rich options are better.
Choice C rationale:
Brown rice contains moderate levels of potassium, but it is not as high as the potassium content in a baked potato.
Choice D rationale:
One small baked potato is a great source of potassium. Potatoes are known for their high potassium content, making them suitable for individuals with hypokalemia, as potassium is essential for proper muscle and nerve function.
Correct Answer is B
Explanation
The correct answer is choice B: Muscle weakness.
Choice A rationale:
Exaggerated reflexes are not typically associated with water intoxication. They can be a sign of other neurological conditions but not specifically related to the administration of hypotonic IV fluids.
Choice B rationale:
Muscle weakness is a symptom of water intoxication, which can occur due to the dilution of electrolytes, including sodium, in the body when a hypotonic solution is administered.
Choice C rationale:
Hypernatremia, or high levels of sodium in the blood, is the opposite of what occurs in water intoxication. Water intoxication leads to hyponatremia, which is a low sodium concentration in the blood.
Choice D rationale:
Weak pulses are not a direct indicator of water intoxication. While they can be associated with various conditions, they do not specifically point to water intoxication following the administration of a hypotonic IV fluid bolus.
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