The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?
The intake of protein should be increased to assist in healing the function of the kidney's nephrons.
The intake of protein should be increased to prevent malnutrition and increase energy.
The intake of protein should be decreased due to the progressively failing function of the kidney.
The protein intake should be decreased to prevent nitrogenous waste buildup.
The Correct Answer is B
A.
In end-stage kidney failure, nephron damage is permanent and irreversible. Increasing protein does not restore kidney function.
B. Clients with end-stage kidney disease (ESKD) who are receiving dialysis require increased protein intake. Dialysis removes not only waste products but also amino acids and proteins. Without adequate protein intake, the client is at risk for malnutrition, muscle wasting, poor wound healing, and decreased energy. Therefore, protein intake is increased to replace losses and maintain nutritional status.
C. Protein restriction is appropriate in earlier stages of chronic kidney disease to reduce workload on the kidneys. However, once the client is on dialysis, protein needs increase.
D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
The mask should cover both the nose and mouth to ensure effective oxygen delivery and prevent air leaks.
The oxygen flowmeter should be adjusted to maintain the client’s oxygen saturation within the target range.
Placing gauze under the straps can help prevent skin irritation from prolonged use of the mask.
Continuous mask use is usually necessary for effective oxygen therapy. Breaks are generally not recommended unless instructed by a healthcare provider.
Face masks should be cleaned more frequently, typically after every shift or as needed, to maintain hygiene and prevent infection.
The mask should be placed over both the nose and mouth simultaneously to ensure proper fit and effective oxygen delivery.
Correct Answer is B
Explanation
A. Fresh fruits are generally healthy but do not specifically address the need for probiotics or managing potential side effects of antibiotics.
B. Yogurt or buttermilk are good choices as they contain probiotics that can help maintain or restore normal gut flora, which can be disrupted by antibiotics like cefdinir.
C. Green leafy vegetables are nutritious but do not address the need for probiotics.
D. Avocados and cheese are nutritious but do not specifically support gut health or counteract antibiotic-related disruptions.
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