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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Flushing the tube with water after feedings helps to prevent tube clogging and ensures adequate delivery of enteral feedings. However, it does not address the diarrhea.
B. While it's important to discard open cans of formula within a specified timeframe to prevent bacterial growth, diarrhea in the client is not directly addressed by discarding formula after 36 hours.
C. The nurse should consider administering feedings at a slower rate to manage diarrhea. This approach can help reduce the incidence of diarrhea as it allows for better absorption of the nutrients.
D. Providing chilled formula is not typically indicated for clients with diarrhea and may not be well-tolerated.

A. Sternum B. Abdomen C. Shoulder D. Neck

Correct Answer is A

Explanation

A. When assessing skin turgor in older adults, it is recommended to perform the test over the sternum or on the forehead. This is due to the fact that many older adults have reduced skin turgor as a part of the typical aging process, which can make it difficult to use the test to determine dehydration accurately in other areas.
B. In the elderly, skin turgor assessment on the abdomen can be influenced by factors such as adipose tissue and may not provide as reliable an indicator.

C. The shoulder is not commonly used for assessing skin turgor and may not provide reliable results.
D. The neck is not typically used for assessing skin turgor and may not provide an accurate reflection of hydration status.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

Explanation

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