A home health nurse is caring for a child who has Lyme disease.

Which of the following is an appropriate action for the nurse to take?

Choice A reason:

Eating 1 g/kg of protein per day is the appropriate recommendation. When providing discharge teaching to a client with chronic kidney disease (CKD) who is receiving haemodialysis, the nurse should include the instruction to eat an appropriate amount of protein, which is usually recommended at a specific daily intake based on the client's weight.

Clients with CKD often have dietary restrictions, including limiting protein intake to reduce the workload on the kidneys. However, protein intake is still necessary for maintaining muscle mass and overall health. The recommended protein intake for clients with CKD undergoing haemodialysis is typically around 1 gram of protein per kilogram of body weight per day.

Choice B reason:

Drink at least 3 L of fluid daily. Clients receiving haemodialysis typically have fluid restrictions, as impaired kidney function can lead to fluid retention and electrolyte imbalances. The specific fluid allowance will be determined by the healthcare provider based on the client's individual needs, and it may be significantly less than 3 L per day.

Choice Doption

Take magnesium hydroxide for ingestion. Magnesium hydroxide is a laxative and antacid used to relieve constipation and heartburn. It is not typically prescribed for clients with chronic kidney disease, especially without proper evaluation of their kidney function and overall medical condition.

Choice Coption:

C. Consume foods high in potassium.

Clients with chronic kidney disease, especially that undergoing haemodialysis, often need to restrict potassium intake. Impaired kidney function can lead to the build-up of potassium in the blood, which can be harmful. Therefore, it is essential for clients with CKD to avoid or limit foods high in potassium.

Choice A reason:

Offer to take pictures of the newborn for the client is the right choice, During the initial grieving process after experiencing a stillbirth, the nurse should offer to take pictures of the newborn for the client if the client wishes. Offering to take pictures is an essential and sensitive way to honour and validate the client's experience and the significance of their baby. It allows the client to have tangible memories of their child, which can be important for the grieving process and help in the healing journey.

It is crucial for the nurse to be supportive and compassionate during this time, respecting the client's emotional needs and preferences. Providing emotional support and empathy are critical components of caring for a client who has experienced the loss of a baby.

Choice B reason:

Assure the client that she can have additional children is not correct. While this statement may be well-intentioned, it may not be appropriate during the initial grieving process. The client may not be emotionally ready to discuss future pregnancies, and such assurances might minimize the significance of the loss they are experiencing. It is essential to be sensitive and refrain from making assumptions about the client's feelings or future plans.

Choice C reason:

Avoid talking to the client about the newborn. Avoiding talking to the client about the newborn may be seen as disregarding their feelings and emotions. Instead, it is essential to provide opportunities for the client to talk about their feelings and the baby if they wish to do so. Creating an environment where the client feels comfortable expressing their emotions can be crucial in the grieving process.

Choice D reason

Discouraging the client from allowing friends to see the newborn It is not appropriate for the nurse to discourage or prevent the client from allowing friends to see the newborn if they wish to do so. Grieving is a highly individual process, and some clients may find comfort and support in sharing their grief with loved ones. The nurse should respect the client's decisions regarding who they want to involve in their grieving process.