The nurse is educating a patient with chronic kidney disease (CKD) about dietary modifications. Which foods should the patient avoid? (Select all that apply.)
White Rice
Baked Salmon
Spinach
Apples
Bananas
Correct Answer : B,C,E
A. White Rice: Low in potassium and phosphorus, making it a safe choice.
B. Baked Salmon: High in phosphorus, which should be limited in CKD.
C. Spinach: High in oxalates, which can contribute to kidney stones.
D. Apples: Low in potassium and safe for CKD patients.
E. Bananas: High in potassium, which can cause dangerous levels in CKD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) X-linked recessive: Requires two mutated genes in females or one in males (e.g., hemophilia, Duchenne muscular dystrophy).
(B) Mitochondrial: Inherited only from the mother, affects energy production.
(C) Autosomal recessive: Requires two copies of a mutated gene (one from each parent) to cause disease (e.g., cystic fibrosis, sickle cell anemia).
(D) Autosomal dominant: A single copy of a mutated gene from one parent is enough to cause a disorder. Examples include Huntington’s disease and Marfan syndrome.
Correct Answer is ["B","C","D"]
Explanation
(A) Constipation: Hypocalcemia causes increased GI motility, leading to diarrhea, not constipation.
(B) Trousseau's sign: Carpal spasm when inflating a BP cuff is a classic sign of hypocalcemia.
(C) Positive Chvostek’s sign: Facial twitching when tapping the facial nerve suggests hypocalcemia.
(D) Muscle spasms: Hypocalcemia increases neuromuscular excitability, leading to spasms and cramps.
(E) Shortened QT interval: Hypocalcemia prolongs the QT interval, while hypercalcemia shortens it.
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