After teaching a male client with chronic kidney disease (CKD) about therapeutic diet for his condition, the nurse provides the client with a menu to make breakfast selections. Which food choice(s) by the client indicate that the teaching was effective? Select all that apply.

Four strips of well done bacon.

A slice of whole grain toast.

Ham, cheese, and egg omelet

A bowl of cream of wheat.

Banana and orange slices.

Answer and Explanation

Correct Answer : B,D

A. Four strips of well done bacon: Bacon is high in sodium and protein, which can worsen fluid retention and kidney function in CKD. This choice does not reflect effective teaching about a kidney-friendly diet.

B. A slice of whole grain toast: Whole grain toast is low in protein and sodium while providing fiber, making it an appropriate choice for a CKD therapeutic diet.

C. Ham, cheese, and egg omelet: This option is high in protein, phosphorus, and sodium, which can be harmful for clients with CKD. It indicates a misunderstanding of dietary restrictions.

D. A bowl of cream of wheat: Cream of wheat is low in protein, sodium, and potassium, making it suitable for a CKD-friendly diet and showing effective teaching.

E. Banana and orange slices: These fruits are high in potassium, which may need to be limited in CKD depending on the stage of disease. Selecting them indicates the client has not fully grasped potassium restrictions.

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Correct Answer is ["C","E"]

Explanation

A. Initiate airborne isolation: Pneumocystis jirovecii pneumonia (PJP) is not transmitted via airborne route; standard precautions are sufficient. Airborne isolation is unnecessary unless another airborne infection (e.g., tuberculosis) is suspected.

B. Repeat CD4+ T-cell count STAT: While CD4 counts are important for long-term monitoring of HIV, an immediate repeat is not required in the acute care setting unless trends are clinically indicated. The current count provides sufficient baseline for care planning.

C. Monitor for adverse reaction to antibiotics: The client is receiving aerosolized pentamidine, which can cause serious side effects including hypotension, hypoglycemia, or renal issues. Close monitoring for adverse reactions is essential to ensure safety during treatment.

D. Increase IV fluids to 150 mL/hr: There is no current indication to increase fluid rate. The client’s intake and output should be assessed carefully, but fluid overload could worsen respiratory status in clients with pneumonia.

E. Administer antiemetic: The client reports significant nausea and emesis, likely exacerbated by infection and medications. Administering an antiemetic is appropriate to maintain hydration, improve comfort, and facilitate adherence to treatment.

A. Pain rating of 8 on a scale of 0 to 10. B. High-pitched sound heard upon inspiration. C. Redness and edema noted at the incision site. D. Apical heart rate of 100 to 110 beats/minute.

Correct Answer is B

Explanation

A. Pain rating of 8 on a scale of 0 to 10: Postoperative pain is expected after an appendectomy. While high pain warrants management, it is not immediately life-threatening.

B. High-pitched sound heard upon inspiration: This finding suggests potential airway compromise, such as stridor, which can indicate laryngeal edema or obstruction. Immediate assessment and intervention are required to maintain airway patency.

C. Redness and edema noted at the incision site: Mild redness and edema are common in the early postoperative period and should be monitored, but they do not constitute an immediate emergency.

D. Apical heart rate of 100 to 110 beats/minute: Mild tachycardia is a common response to pain, stress, or anesthesia and should be monitored, but it is not immediately life-threatening.

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After teaching a male client with chronic kidney disease (CKD) about therapeutic diet for his condition, the nurse provides the client with a menu to make breakfast selections. Which food choice(s) by the client indicate that the teaching was effective? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Which prescriptions should the nurse anticipate after an update is reported to the healthcare provider (HCP)? Select all that apply.

Correct Answer is ["C","E"]

Explanation

The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?

Correct Answer is B

Explanation

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