A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following Instructions should the nurse include in the teaching?
Eat 1 g/kg of protein per day.
Consume foods high in potassium.
Take magnesium hydroxide for indigestion.
Drink at least 3 L of fluid daily.
The Correct Answer is A
A. For clients receiving hemodialysis, maintaining adequate protein intake is essential because dialysis can remove protein from the blood. The recommended intake is typically about 1 g/kg/day, which helps replace losses and supports overall health.
B. Consume foods high in potassium. Clients with chronic kidney disease often need to restrict potassium intake due to impaired kidney function and the risk of hyperkalemia.
C. Take magnesium hydroxide for indigestion. Clients with chronic kidney disease should avoid magnesium-containing antacids due to the risk of magnesium accumulation and toxicity.
D. Drink at least 3 L of fluid daily. Fluid intake usually needs to be restricted in clients undergoing hemodialysis because their kidneys cannot effectively remove excess fluid, which can lead to complications like hypertension and pulmonary edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This type of play usually begins around ages 3 to 4.
B. While possible, this is more typical in slightly older children who engage in more complex forms of pretend play.
C. At 30 months (2.5 years old), children are typically engaged in simple pretend play and enjoy playing with larger, more manipulable toys like plastic trucks. Their motor skills and cognitive development at this stage support this type of play.
D. Coordination for jumping rope generally develops later, closer to school age.
Correct Answer is A
Explanation
A. Eating a light snack before bedtime can help promote sleep by preventing hunger- related awakenings without causing discomfort or indigestion.
B. Performing exercises prior to bedtime may increase alertness and make it more difficult to fall asleep.
C. Remaining in bed for extended periods if unable to fall asleep can worsen insomnia by reinforcing the association between the bed and wakefulness.
D. Taking a long nap during the day can disrupt nighttime sleep patterns and make it more difficult to fall asleep at night.
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