A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?
"Reducing protein intake can help prevent calcium loss and bone fractures."
"Limiting protein intake can reduce the workload on your kidneys and slow disease progression."
"Decreasing protein intake will help improve your appetite and overall nutritional status."
"By reducing protein intake, your body will have fewer waste products to excrete, reducing strain on your kidneys."
The Correct Answer is B
A. Incorrect. Reducing protein intake can lead to calcium loss and bone fractures in clients with chronic renal failure, as it may affect
bone health.
B. Correct. Limiting protein intake is a common dietary recommendation for clients with chronic renal failure to reduce the workload on the kidneys and slow the progression of kidney damage. Protein metabolism produces waste products that the kidneys must filter and excrete, and reducing protein intake can help alleviate this burden on the already compromised kidneys.
C. Incorrect. Decreasing protein intake may not necessarily improve appetite or overall nutritional status, as protein is essential for maintaining body functions and tissue repair.
D. Incorrect. While reducing protein intake can result in fewer waste products being generated, the primary reason for limiting protein intake in chronic renal failure is to reduce the strain on the kidneys, not solely to decrease waste production.
QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Encouraging the client to drink 3 liters of fluid daily may be excessive and can contribute to fluid overload in individuals on hemodialysis. Fluid intake needs to be limited and closely monitored.
B. Correct. Monitoring the vascular access site is crucial to detect early signs of infection or clotting, which can lead to serious complications such as sepsis or thrombosis.
C. Incorrect. Phosphate binders are used to control phosphate levels in the blood and are generally taken with meals, not specifically before hemodialysis sessions.
D. Incorrect. Promoting a high-potassium diet is not appropriate for individuals on hemodialysis, as it can lead to hyperkalemia. Clients on hemodialysis typically need to restrict potassium intake.
Correct Answer is B
Explanation
A. Incorrect. Phosphate binders are not used to reduce calcium absorption. They are specifically prescribed to control phosphate levels in the blood.
B. Correct. Phosphate binders are medications that bind to dietary phosphorus in the digestive tract, preventing its absorption and reducing phosphate levels in the blood. This helps manage hyperphosphatemia, a common complication in chronic renal failure.
C. Incorrect. Phosphate binders do not improve iron absorption or manage anemia. They are not related to iron metabolism.
D. Incorrect. Phosphate binders do not affect potassium excretion. They are specific to phosphate control in the body and do not impact potassium levels.
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