A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to
make dietary adjustments. Which of the following instructions should the nurse include?
Eat at least 45 g of fiber per day.
Consume less than 0.8 g/kg of body weight of protein per day.
Eat no more than 300 mg of cholesterol per day.
Consume less than 45% of total calories from carbohydrates per day.
The Correct Answer is B
Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.
Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.
Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.
Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A raised red rash is not typically indicative of venous insufficiency but could suggest an allergic reaction or infection.
Choice B reason: Coldness and numbness distal to the fistula site can indicate poor blood flow, which is a symptom of venous insufficiency.
Choice C reason: Pain proximal to the fistula site can be a sign of venous hypertension and insufficiency, as it may
indicate increased pressure in the veins.
Choice D reason: Foul-smelling drainage is not a typical sign of venous insufficiency but may indicate an infection.
Correct Answer is B
Explanation
Choice A reason: The end of a menstrual period is not relevant to the intravenous pyelogram procedure.
Choice B reason: An allergy to shellfish is important to report as the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.
Choice C reason: Drinking fluids is generally encouraged to prevent kidney stones and is not a concern for the provider.
Choice D reason: Painful and red-tinged urination is a symptom of kidney stones but does not need to be reported unless it is a new or worsening symptom.
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