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.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A. Fluid replacement is crucial to prevent dehydration and maintain electrolyte balance, which is vital in clients with severe ulcerative colitis and after surgery.

B. Turning the client is important to prevent pressure ulcers but is not as immediately critical as fluid balance.

C. Recording wound drainage is necessary but secondary to ensuring the client’s fluid and electrolyte status.

D. Assessing skin condition is important but fluid balance takes priority in this scenario.

A. Infuse normal saline intravenously. B. Apply external cooling blanket. C. Provide a bottle of electrolyte solution. D. Administer an antipyretic rectally.

Correct Answer is A

Explanation

A. Infusing normal saline intravenously is crucial as the infant shows signs of dehydration (weak cry, no tears), and intravenous fluids are necessary to restore hydration and electrolyte balance.

B. Applying an external cooling blanket may be necessary to manage fever but does not address the dehydration issue.

C. Providing an electrolyte solution is helpful, but given the infant’s refusal to drink, IV fluids are more immediate and effective.

D. Administering an antipyretic rectally might help manage fever but does not address the dehydration or fluid needs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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