The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

 

Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.

Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.

Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.

Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that

control the bladder.

Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.

The correct answer is choice D. “Adding pecans will be a change I can readily make.”

Choice A rationale: Cantaloupe is a fruit that is high in potassium. For individuals with acute kidney injury, it is important to limit potassium intake because their kidneys may not be able to effectively eliminate excess potassium from the bloodstream. Therefore, choosing cantaloupe for a snack would not indicate an understanding of the dietary restrictions necessary for managing potassium levels.

Choice B rationale: Baked potatoes are another food item that contains a significant amount of potassium. Similar to cantaloupe, consuming baked potatoes would not be advisable for someone who needs to control their potassium intake due to impaired kidney function. The client’s statement about adding baked potatoes to their diet does not reflect an understanding of the teaching provided.

Choice C rationale: Yogurt, while a nutritious food, also contains a considerable amount of potassium. For a client with acute kidney injury, eating yogurt could contribute to an undesirable increase in potassium levels, which the damaged kidneys may not be able to process efficiently. Thus, the client’s interest in eating yogurt does not demonstrate a correct understanding of the dietary guidelines given their condition.

Choice D rationale: Pecans are a low-potassium food option, making them a suitable choice for someone with acute kidney injury who needs to monitor and limit their potassium intake. The client’s willingness to add pecans to their diet indicates a proper understanding of the dietary changes necessary to manage their condition effectively. Therefore, this choice is the correct answer.