Which nutritional interventions is a priority for the patient with renal disease who is receiving dialysis?
Limit all nutrients to account for altered renal excretion.
Ensure an adequate amount of protein to prevent catabolism.
Increase fluids to replace losses.
Encourage potassium-rich foods to replace losses.
The Correct Answer is B
A. Limiting all nutrients is not recommended for patients on dialysis. While certain nutrients like potassium and phosphorus may need to be restricted, dialysis patients usually require adequate nutrition, especially protein, to support healing and prevent malnutrition.
B. Ensuring an adequate amount of protein is correct. Dialysis patients often experience protein loss through dialysis and need additional protein to prevent catabolism and muscle wasting. Protein intake should be carefully monitored to meet their nutritional needs while avoiding excessive waste buildup.
C. Increasing fluids is not typically advised for dialysis patients, as they often have fluid restrictions due to reduced kidney function and the risk of fluid overload.
D. Encouraging potassium-rich foods is not advisable for patients with renal disease, particularly if they are on dialysis, as they often have issues with potassium retention, which could lead to dangerous hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limiting all nutrients is not recommended for patients on dialysis. While certain nutrients like potassium and phosphorus may need to be restricted, dialysis patients usually require adequate nutrition, especially protein, to support healing and prevent malnutrition.
B. Ensuring an adequate amount of protein is correct. Dialysis patients often experience protein loss through dialysis and need additional protein to prevent catabolism and muscle wasting. Protein intake should be carefully monitored to meet their nutritional needs while avoiding excessive waste buildup.
C. Increasing fluids is not typically advised for dialysis patients, as they often have fluid restrictions due to reduced kidney function and the risk of fluid overload.
D. Encouraging potassium-rich foods is not advisable for patients with renal disease, particularly if they are on dialysis, as they often have issues with potassium retention, which could lead to dangerous hyperkalemia.
Correct Answer is ["A","B","D","E"]
Explanation
A. Equianalgesic dosing compares other opioids to morphine to ensure that equivalent pain relief is achieved.
B. For patients unable to verbalize pain, behavioral indicators such as facial expressions or body movements are the best way to assess pain.
C. Meperidine is not stronger than morphine and has a higher risk of toxicity, especially when given at higher doses or frequent intervals.
D. The patient’s self-report is considered the most accurate and essential tool for assessing pain.
E. Transcutaneous electrical nerve stimulation and heat/cold therapy work by stimulating nonpain sensory fibers, which can help alleviate pain by overriding pain signals.
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