A nurse is obtaining a nutritional history from a client who has a new diagnosis of chronic kidney disease. Which of the following client statements indicates additional teaching is needed?
"I don't add salt to my food anymore."
"I read nutrition labels before I buy something."
"I'm eating larger portions of meat."
"I've started using olive oil instead of butter."
The Correct Answer is C
A. "I don't add salt to my food anymore.": Limiting sodium intake is appropriate for clients with chronic kidney disease (CKD) to help manage fluid retention and blood pressure. This statement reflects proper understanding and does not require additional teaching.
B. "I read nutrition labels before I buy something.": Reading nutrition labels helps clients monitor sodium, potassium, phosphorus, and protein intake, which is essential in CKD management. This demonstrates effective self-management and does not require further teaching.
C. "I'm eating larger portions of meat.": Consuming large portions of meat increases protein and phosphorus intake, which can worsen kidney function and complicate CKD management. This statement indicates a misunderstanding of dietary restrictions, and additional teaching is needed about appropriate protein portion sizes.
D. "I've started using olive oil instead of butter.": Replacing butter with olive oil is appropriate, as it provides healthier fats that do not contribute to hyperphosphatemia or cardiovascular risk. This reflects correct dietary adaptation and does not require further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morphine 2 mg IV bolus every 4 hr PRN pain: The prescription clearly indicates the dose, route, frequency, and PRN instructions, making it complete and appropriate for administration.
B. Acetaminophen 1,000 PO three times daily: The prescription is missing the unit of measure (mg, g, etc.), which is essential to ensure safe dosing. Without the unit, there is a risk of overdose or underdose, so the nurse must verify this prescription with the provider before administration.
C. Ibuprofen 800 mg PO every 8 hr: This prescription includes the dose, route, and frequency, making it complete. While monitoring for side effects is important, there is no issue requiring verification.
D. Ceftriaxone 250 mg IM x1 dose now: The prescription specifies the dose, route, and single administration, making it clear and safe to administer without additional verification.
Correct Answer is A
Explanation
A. Health department data and statistics reports: Local or state health departments routinely collect and publish epidemiological data, including incidence and prevalence rates of communicable diseases like tuberculosis. These reports provide reliable, up-to-date statistics that are essential for planning and evaluating public health programs.
B. Expert opinion from local health care providers: Expert opinion can provide insights into trends or clinical observations, but it is anecdotal and not sufficient for calculating incidence rates. Public health planning requires data that is systematically collected and analyzed.
C. Browsing an internet search engine: While internet searches may yield general information, the results may not be accurate, up-to-date, or specific to the local population. Official health department sources are more reliable for incidence data.
D. Clinical guidelines from a professional organization: Clinical guidelines provide recommendations for diagnosis, treatment, and management, but they do not usually include local incidence statistics. They are not a primary source for epidemiological data.
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