After teaching a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
"It is important that I take my antihypertensive medications as directed."
"I can prevent more damage to my kidneys by managing my blood pressure."
"I need to see the registered dietitian to discuss limiting my protein intake."
"I have increased urination at night; I need to drink less fluid during the day."
The Correct Answer is D
Rationale:
A. The statement reflects accurate understanding. Adherence to prescribed antihypertensive therapy helps prevent further renal damage and cardiovascular complications.
B. Uncontrolled hypertension accelerates kidney damage, so effective blood pressure control is a critical part of renal protection.
C. The statemen demonstrates appropriate understanding. Clients with renal disease benefit from guidance on dietary protein restriction to reduce the buildup of nitrogenous waste products.
D. The statement indicates a need for further teaching. Nocturia in renal disease is due to impaired kidney concentration ability, not excessive daytime fluid intake. Fluid restriction should only occur under provider direction, as limiting fluids inappropriately can lead to dehydration and worsen renal perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Redness at the catheter exit site is not expected and may indicate infection or peritonitis. The nurse should teach the client to monitor for signs of infection—such as redness, swelling, or drainage—and to report them immediately.
B. Mild discomfort or pain during dialysate inflow is expected during the first week of peritoneal dialysis as the client’s peritoneum adjusts to the procedure. This discomfort usually subsides as the client becomes accustomed to the treatment.
C. Foods high in fiber should not be avoided; rather, they are encouraged to help prevent constipation, which can interfere with dialysate flow and drainage.
D. Dialysate should never be warmed in a microwave oven because it can heat unevenly and cause abdominal burns. The correct method is to use a dialysate warming device designed specifically for this purpose to ensure uniform and safe warming.
Correct Answer is ["3.3"]
Explanation
Step 1: Convert the infant’s weight from pounds to kilograms
Weight in kg = 12 ÷ 2.2 ≈ 5.45 kg
Step 2: Calculate the dose in mg
Dose = 15 mg/kg × 5.45 kg ≈ 81.75 mg
Step 3: Determine the volume to administer using the concentration
Available = 125 mg / 5 mL
Volume (mL) = (Desired dose ÷ Concentration per mL) × 5
Volume = (81.75 ÷ 125) × 5 ≈ 3.27 mL
Step 4: Round to the nearest tenth
Volume ≈ 3.3 mL
Final Answer: 3.3 mL
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