A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

cranberry juice

chocolate bar

jello (a gelatin dessert)

an orange

grapefruit juice

Answer and Explanation

Correct Answer : A,C

A.   Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B.   Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C.   Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D.   Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E.   Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.

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Correct Answer is D

Explanation

A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.

A. Coffee B. Orange juice C. Ginger ale D. Wine

Correct Answer is D

Explanation

A. Coffee is generally well tolerated unless the patient experiences discomfort or adverse effects from caffeine. It does not typically pose specific risks for patients with Hodgkin's disease.
B. Orange juice is generally safe to consume unless the patient has specific dietary restrictions or intolerances. It provides vitamin C and hydration.
C. Ginger ale is a non-caffeinated, carbonated beverage that is often used to alleviate nausea and upset stomach. It is generally safe to consume for patients with Hodgkin's disease unless there are individual sensitivities.
D. Alcohol consumption, including wine, should be avoided by patients with Hodgkin's disease, especially during treatment. Alcohol can suppress the immune system and may interact with medications or exacerbate side effects.

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A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

Correct Answer is D

Explanation

Which of the following beverages should a patient with Hodgkin's disease be instructed to avoid?

Correct Answer is D

Explanation

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