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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. While physical restraints may potentially cause harm, the intention in this case is to ensure safety, so it isn't directly categorized as harm.
B. Paternalism involves making decisions for the patient without their consent, believing it's for their own good, which is what the nurse is considering by using restraints for safety.
C. Deception is not involved in this situation, as the nurse is not misrepresenting the circumstances.
D. Advocacy would involve advocating for the patient's autonomy, which may not align with using restraints without the patient's consent.

Correct Answer is ["21.6"]

Explanation

 Convert pounds to kilograms:

198 lbs / 2.2 lbs/kg = 90 kg

 Calculate the medication dose in mcg/min:

90 kg 4 mcg/kg/min = 360 mcg/min

 Convert mcg/min to mg/hr:

360 mcg/min 60 min/hr = 21600 mcg/hr
21600 mcg/hr / 1000 mcg/mg = 21.6 mg/hr

 Determine the medication concentration:

250 mg / 250 mL = 1 mg/mL

 Calculate the infusion rate in mL/hr:

21.6 mg/hr / 1 mg/mL = 21.6 mL/hr

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which nutritional interventions is a priority for the patient with renal disease who is receiving dialysis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer? NOTE DO NOT write the unit/s of measurement DO NOT round your answer

Correct Answer is ["21.6"]

Explanation

A patient has a new order for intermittent nasogastric feedings every 4 hours. The nasogastric tube is placed by the nurse. What is the most accurate method for confirming the placement of the tube before initiating the feeding?

A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

A tracheostomy patient is experiencing regurgitation of tube feeding formula. What should be the nurse's first priority?

The nurse is exploring pain assessment with a group of new nurses. Which statements are true regarding pain assessment and management? (Select all that apply, one, some, or all.)

Why is restraining a competent patient against his or her wishes considered an intentional tort?

The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

You are explaining the importance of strict intake and output for patients with pulmonary alterations. What is the rationale for careful intake and output for patients with pulmonary alterations?