The nurse is teaching a patient with chronic kidney disease about dietary restrictions. Which food should be avoided?
Apples
Bananas
Green Beans
White Bread
The Correct Answer is B
(A) Apples: Low in potassium, safe for CKD patients.
(B) Bananas: CKD patients should avoid high-potassium foods, as the kidneys cannot efficiently excrete potassium, increasing the risk of hyperkalemia.
(C) Green Beans: Low in potassium, kidney-friendly.
(D) White Bread: Preferred over whole grains because it has lower phosphorus content.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
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