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. Protein may be restricted in cases of liver failure to prevent ammonia buildup, but calcium isn't typically restricted in liver failure.
B. In acute liver failure and encephalopathy, protein may be restricted to minimize ammonia production, and sodium may be restricted to manage fluid retention and prevent further complications.
C. Fat and magnesium are not typically restricted in this condition.
D. Carbohydrate and potassium are not primary dietary restrictions for acute liver failure.
Correct Answer is ["A","G"]
Explanation
A. Requesting a consultation by the facility's Ethics Committee is appropriate because it can provide guidance in resolving the ethical conflict between the parents' differing views and the principle of autonomy for the child.
B. Relying on other medical interventions to support the client's needs related to the drop-in hemoglobin is not correct. While alternative treatments may be considered, this would not resolve the ethical conflict regarding the blood transfusion and does not directly address the dilemma between the parents.
C. Discussing at length the impact refusing the blood transfusion on the client's prognosis is not the best initial step. Although it may be helpful to provide this information, the core issue here is parental disagreement and religious beliefs, which should be addressed through legal or ethical consultations rather than simply offering further explanations.
D. Relaying the decision until it's apparent the hemoglobin level is dropping even lower is not appropriate. Delaying the decision may jeopardize the patient's life and does not respect the urgency of the situation or resolve the parental conflict.
E. Asking that other members of the client's immediate family provide insight regarding the client's view on blood transfusions is not the most effective option. While family members may have insight, this does not resolve the conflict between the parents and may not be legally binding.
F. Arranging for a Jehovah's Witness clergy member to discuss the situation with the client's father may provide some guidance, but it is unlikely to resolve the legal and ethical conflict about the blood transfusion. A clergy member's intervention is helpful in supporting religious beliefs but does not address the medical or legal implications of the decision.
G. Applying to the court system to arbitrate the conflict may be necessary if the parents cannot reach a consensus and if the medical team believes that the life-saving treatment should proceed. The court can make decisions based on the best interests of the child, particularly when there is a disagreement between parents.
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