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 D

A. Increasing protein intake will not heal the kidney's nephrons in end-stage kidney disease.

B. While preventing malnutrition is important, protein intake needs to be carefully managed to avoid complications from waste buildup.

C. Decreasing protein intake is necessary because the kidneys' ability to filter waste products is compromised.

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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Free Nursing Study Resources

Correct Answer is []

Explanation

In an infant, a bulging fontanel is a classic sign of increased intracranial pressure. The fontanel, or soft spot on the top of the skull, can bulge when there is a buildup of pressure inside the skull, often due to conditions like hydrocephalus or complications with a ventriculoperitoneal shunt.

Preparing for a CT scan is crucial for diagnosing underlying causes of increased intracranial pressure, which could be related to shunt issues or other intracranial abnormalities.

Implementing seizure precautions ensures safety and readiness for possible seizures due to elevated intracranial pressure.

Monitoring pupil size helps assess neurological status and detect signs of increased intracranial pressure.

Tracking heart rate helps in identifying changes that may indicate deterioration in the infant’s condition related to increased intracranial pressure.

A. Verify that Client B has two units of packed cells available. B. Ask the dietitian to add a banana to Client C's breakfast tray. C. Increase Client A's oxygen to 4 L/minute via nasal cannula. D. Move Client D into an isolation room 24 hours before surgery.

Correct Answer is A

Explanation

A. Client B’s hemoglobin is significantly low, indicating the need for a blood transfusion to improve oxygen-carrying capacity.

B. Client C’s potassium level is within normal limits, so there is no immediate need to add a banana.

C. Client A’s oxygen saturation is acceptable, so increasing the oxygen is unnecessary.

D. Client D’s elevated WBC count may indicate infection, but moving them to isolation before surgery is not required based solely on this finding.

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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

Correct Answer is []

Explanation

Correct Answer is A

Explanation

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