Which of the following nursing considerations is important when caring for a client undergoing hemodialysis?

Choice a reason: Straining all urine is an essential intervention for a patient with a kidney stone. This practice allows for the collection and analysis of any stones that pass, which can help determine their composition and guide future treatment and dietary recommendations. Identifying the type of stone is crucial for preventing recurrence.
Choice b reason: Restricting fluids is not recommended for patients with kidney stones. In fact, increasing fluid intake is encouraged to help flush out the urinary system, promote the passage of stones, and prevent the formation of new stones. Adequate hydration is a key component in managing and preventing kidney stones.
Choice c reason: Increasing calcium intake is not typically advised for patients with kidney stones, especially calcium oxalate stones. While calcium is an essential nutrient, excessive intake can contribute to stone formation. Dietary recommendations should be individualized based on the type of stones and the patient's overall health.
Choice d reason: Maintaining bedrest is not necessary for patients with kidney stones. Encouraging movement and activity can help facilitate the passage of stones. Bedrest may be recommended in specific cases where the patient is experiencing severe pain or complications, but generally, mobility is beneficial in managing kidney stones.

Choice a reason: Eliminating ingestion of foods high in protein is not entirely accurate. While it is important for clients with chronic kidney disease (CKD) to manage their protein intake, eliminating it completely is not recommended. Instead, they should consume controlled amounts of high-quality protein, as protein is necessary for maintaining muscle mass and overall health. However, excessive protein intake can increase the workload on the kidneys and accelerate the progression of kidney disease.
Choice b reason: Reducing intake of foods high in potassium is essential for clients with CKD. The kidneys' ability to excrete potassium is impaired in CKD, leading to elevated blood potassium levels (hyperkalemia), which can cause serious cardiac complications. Foods high in potassium, such as bananas, oranges, potatoes, and tomatoes, should be limited or avoided to help maintain safe potassium levels.
Choice c reason: Maintaining a low carbohydrate diet is not specifically recommended for clients with CKD. While managing carbohydrate intake is important, especially for clients with diabetes, the primary dietary focus for CKD patients is on controlling protein, potassium, sodium, and phosphorus intake. A balanced diet with appropriate nutrient management is key.
Choice d reason: Increasing intake of sodium-containing food is not appropriate for clients with CKD. Excess sodium can lead to fluid retention, hypertension, and increased strain on the kidneys. Clients with CKD are generally advised to follow a low-sodium diet to help manage blood pressure and reduce the risk of complications such as edema and heart failure.