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) Restrict the patient’s fluid intake: Fluid restrictions are important but not the priority during administration. Monitoring for adverse effects like ototoxicity is more critical.
(B) Ensure the patient voids before administration: Furosemide is a diuretic, but voiding before administration is not required.
(C) Administer the dose rapidly to achieve quick results: Rapid IV push can cause ototoxicity and hypotension. It should be given slowly over 1-2 minutes.
(D) Monitor the patient for tinnitus: High-dose or rapid IV administration of furosemide can cause ototoxicity, leading to tinnitus and hearing loss.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
Hyperthyroidism:
- Heat Intolerance: Increased metabolism leads to excessive heat production.
- Exophthalmos: Protrusion of the eyes due to autoimmune effects in conditions like Graves’ disease.
- Tremors: Overstimulation of the nervous system causes fine hand tremors.
Hypothyroidism:
- Bradycardia: Reduced thyroid hormone slows metabolism and heart rate.
- Weight Gain: Decreased metabolism leads to fat accumulation.
- Dry Coarse Skin: Reduced metabolism causes decreased sweat and oil production, leading to dry skin.
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