The nurse is providing discharge teaching on nutritional therapy to a patient with stage 3 chronic kidney disease. Which statement by the patient suggests to the nurse that additional teaching is required?
"It's important for me to avoid foods that are high in sodium such as canned soups and processed meats."
"I should limit my intake of high-potassium foods like bananas and tomatoes."
"I will eat a high-protein diet with lots of dark green, leafy vegetables."
"I need to monitor my fluid intake to prevent fluid overload."
The Correct Answer is C
Choice A reason: Avoiding foods that are high in sodium such as canned soups and processed meats is correct. High sodium intake can worsen fluid retention and hypertension, which are concerns in chronic kidney disease.
Choice B reason: Limiting intake of high-potassium foods like bananas and tomatoes is correct. High potassium levels can lead to dangerous cardiac arrhythmias in patients with chronic kidney disease.
Choice C reason: Eating a high-protein diet with lots of dark green, leafy vegetables is incorrect. While protein is important, excessive protein intake can increase the workload on the kidneys. Patients with chronic kidney disease often need to limit protein intake to prevent further kidney damage. Additionally, dark green, leafy vegetables are high in potassium, which should be limited.
Choice D reason: Monitoring fluid intake to prevent fluid overload is correct. Fluid overload can lead to hypertension, edema, and heart failure in patients with chronic kidney disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Albuterol is a short-acting beta-agonist that helps to quickly relieve bronchospasm, reduce wheezing, and improve airflow in patients with COPD exacerbations.
Choice B reason: Beclomethasone is an inhaled corticosteroid used for long-term control of inflammation in COPD but is not the first-line treatment for acute exacerbations.
Choice C reason: Fluticasone and salmeterol is a combination inhaler used for maintenance therapy in COPD, providing both anti-inflammatory and long-acting bronchodilation effects, but not ideal for immediate symptom relief.
Choice D reason: Tiotropium is a long-acting anticholinergic bronchodilator used for maintenance treatment in COPD but is not the best choice for acute symptom management.
Correct Answer is D
Explanation
Choice A reason: Respiratory alkalosis with uncompensated imbalance would show a low PaCO2, not a normal value.
Choice B reason: Respiratory acidosis with partially compensated imbalance would show a low pH and high PaCO2 with an elevated bicarbonate level.
Choice C reason: Metabolic acidosis with uncompensated imbalance would show a low pH and low bicarbonate level.
Choice D reason: Metabolic alkalosis with partially compensated imbalance is indicated by the elevated pH and bicarbonate level, while
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