The nurse is caring for a client with chronic kidney disease (CKD). Which meal selection should the nurse recommend to the client?
Chicken, yams, pinto beans and pecans.
Steak and baked potato with butter and cheese topping.
Canned ham and green beans.
Pasta with fish and an orange.
The Correct Answer is D
A. Chicken, yams, pinto beans, and pecans: This meal is not ideal for a client with CKD because pinto beans and pecans are high in potassium and phosphorus, which can be problematic for clients with CKD. Yams are also high in potassium.
B. Steak and baked potato with butter and cheese topping: Steak is high in protein and phosphorus, which can overload the kidneys. Baked potato, especially with cheese, can be high in potassium, which should be monitored in CKD.
C. Canned ham and green beans: Canned ham is often high in sodium, which is not recommended for clients with CKD, as it can exacerbate fluid retention and high blood pressure. Green beans are a good choice, but the sodium content in the ham is a concern.
D. Pasta with fish and an orange: Pasta is low in potassium and phosphorus, and fish provides a good source of protein that is generally easier on the kidneys compared to red meat. This meal is lower in sodium, phosphorus, and potassium, making it a better choice for CKD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
Dose per administration in milliliters = 15 mL.
Concentration of the medication = 12.5 mg/5 mL.
- Calculate the amount of medication in milligrams (mg) per administration.
Amount per administration (mg) = Dose per administration (mL) × (Concentration (mg) / Volume (mL))
= 15 mL × (12.5 mg / 5 mL)
= 15 mL × 2.5 mg/mL
= 37.5 mg.
- Determine the number of doses per day.
Doses are given every 12 hours, so Number of doses per day = 24 hours / 12 hours/dose
= 2 doses/day.
- Calculate the total daily dose in milligrams (mg).
Total daily dose (mg) = Amount per administration (mg) × Number of doses per day
= 37.5 mg × 2 doses
= 75 mg.
Correct Answer is A
Explanation
A. Maintain the client on an NPO status: After bariatric surgery, vomiting and the inability to tolerate food and liquids could indicate complications such as gastric outlet obstruction or stenosis. Maintaining NPO status allows the gastrointestinal system to rest while the cause of the symptoms is investigated and treated.
B. Determine if the client is over-hydrating to feel satiated: While over-hydration can cause discomfort, the immediate concern is the client's inability to tolerate food and liquids, which may suggest a more serious issue.
C. Administer daily vitamin supplements: While vitamin supplementation is essential after bariatric surgery to prevent deficiencies, it does not directly address the current issue of vomiting and inability to tolerate food and liquids.
D. Encourage positive self accolades for dietary adherence: Though reinforcing positive behavior is important in long-term weight loss management, it is not the priority at this moment. The immediate focus is addressing the client's symptoms and ensuring they are medically managed.
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