The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

Restrict protein intake by limiting meats and other high protein foods.

Increase intake of high fiber foods, such as bran cereal.

Limit oral fluid intake to 500 mL/day.

Increase intake of potassium rich foods such as bananas or cantaloupe.

Answer and Explanation

The Correct Answer is A

A. Restricting protein intake is often recommended for clients with glomerulonephritis to reduce the workload on the kidneys and decrease proteinuria. This can help slow the progression of kidney damage.

B. Increasing intake of high-fiber foods may be beneficial for overall health but is not specifically indicated for glomerulonephritis management.

C. Limiting oral fluid intake to 500 mL/day is not appropriate for most clients and may lead to dehydration, which can exacerbate kidney dysfunction.

D. Increasing intake of potassium-rich foods may be contraindicated in some cases of glomerulonephritis, especially if the client has hyperkalemia. Dietary potassium restriction may be necessary depending on the client's lab values and kidney function.

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Correct Answer is A

Explanation

A. Ensuring oral suction is available is the most essential intervention to maintain a clear airway and prevent aspiration during and after seizures, particularly in an unconscious client.

B. Providing frequent mouth care is important for oral hygiene but may not be as critical as ensuring a patent airway during seizures.

C. Keeping the room at a comfortable temperature is important for overall comfort but is not the most essential intervention during seizure activity.

D. Maintaining the client in a semi-Fowler's position may help with ventilation and drainage but is not as crucial as ensuring airway patency.

A. Topical antifungal. B. Topical corticosteroids. C. Topical analgesics. D. Colloidal oatmeal based lotion.

Correct Answer is B

Explanation

A. Topical antifungal agents are used to treat fungal infections, not psoriasis, which is an autoimmune condition.

B. Topical corticosteroids are commonly used to reduce inflammation and itching associated with psoriasis. They are effective in controlling symptoms and promoting healing of psoriatic lesions.

C. Topical analgesics may provide temporary relief from discomfort associated with psoriasis lesions, but they do not address the underlying inflammation and are not typically the primary treatment for psoriasis.

D. Colloidal oatmeal-based lotions may help soothe and moisturize the skin but are not specific treatments for psoriasis. They may be used as adjunctive therapy for symptom relief.

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The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

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Naxlex Comprehensive Predictor Exams

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