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 C
Explanation
(A) 0.45% NaCl (Hypotonic Fluid): Used for mild dehydration but can cause fluid shifts leading to cerebral edema.
(B) 3% NaCl (Hypertonic Fluid): Used for severe hyponatremia, not dehydration.
(C) Lactated Ringer’s (LR): This isotonic fluid replaces lost fluids and electrolytes, making it the best choice for severe dehydration, especially in patients with electrolyte imbalances.
(D) D5W: Initially isotonic but becomes hypotonic once glucose is metabolized, leading to fluid shifts into cells, worsening dehydration.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.