A nurse is caring for a client who has end-stage kidney disease. Which of the following dietary instructions should the nurse give to the client's partner?
"Restrict your partner's oral fluid intake to 450 mL/day."
"Limit your partner's potassium intake to 60 mEq/L per day."
"Help your partner consume foods containing phosphorus."
"Encourage foods high in protein for your partner.”
The Correct Answer is B
A. "Restrict your partner's oral fluid intake to 450 mL/day.": Fluid restriction in ESKD should be individualized based on the client’s kidney function and retention. A strict 450 mL/day limit is not universally applicable.
B. "Limit your partner's potassium intake to 60 mEq/L per day.": Potassium intake is typically restricted in ESKD due to the kidneys' reduced ability to excrete it. The appropriate restriction depends on potassium levels, but generally, it’s advised to limit intake to prevent hyperkalemia and related complications.
C. "Help your partner consume foods containing phosphorus.": Phosphorus intake should be restricted in ESKD, as high phosphorus levels can cause complications like bone disease. Consuming phosphorus-rich foods should be avoided to prevent calcium-phosphorus imbalances and calcification.
D. "Encourage foods high in protein for your partner.": Excess protein intake in ESKD can exacerbate kidney function decline and increase waste buildup. Protein intake should be monitored and reduced to minimize the kidneys’ workload and prevent further damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nosebleed: A nosebleed is not typically associated with dialysis disequilibrium. It may be related to other factors like dry air or blood pressure changes, but it is not a classic symptom of dialysis disequilibrium.
B. Malaise: Malaise can occur after hemodialysis due to various reasons, such as fluid shifts, but it is not a specific indicator of dialysis disequilibrium.
C. Headache: Headache is a common symptom of dialysis disequilibrium, which occurs due to rapid changes in fluid and electrolyte balance during hemodialysis. This can lead to cerebral edema, which manifests as a headache.
D. Elevated temperature: An elevated temperature is not a typical sign of dialysis disequilibrium. It could indicate an infection or other issues related to dialysis, but it is not directly related to disequilibrium.
Correct Answer is ["30"]
Explanation
Calculation:
- Determine the concentration of the available lidocaine solution in milligrams per milliliter (mg/mL).
Available concentration = Total medication (mg) / Total volume (mL)
= 400 mg / 100 mL
= 4 mg/mL.
- Convert the desired dose from milligrams per minute (mg/min) to milligrams per hour (mg/hr).
1 hr = 60 min
Desired dose in mg/hr = 2 mg/min × 60 min/hr
= 120 mg/hr.
- Calculate the IV pump rate in milliliters per hour (mL/hr).
IV pump rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 120 mg/hr / 4 mg/mL
= 30 mL/hr.
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