A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?
Maintain a low carbohydrate diet.
Reduce intake of foods high in potassium.
Eliminate ingestion of foods high in protein.
Increase intake of sodium-containing food.
The Correct Answer is B
A. While controlling carbohydrate intake may be beneficial for managing blood glucose levels in some cases, it is not a primary dietary concern for chronic kidney disease.
B. Patients with chronic kidney disease often need to limit potassium intake because the kidneys may have difficulty excreting excess potassium, leading to hyperkalemia.
C. While protein restriction may be necessary in advanced stages of chronic kidney disease to reduce the workload on the kidneys, complete elimination of protein is not recommended.
D. Sodium restriction is often recommended for patients with chronic kidney disease to help control blood pressure and fluid balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While excessive alcohol consumption can contribute to various health problems, it is not a known risk factor for leukemia.
B. Down syndrome is associated with an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL).
C. Hemophilia is a bleeding disorder and is not directly associated with an increased risk of leukemia.
D. Iron deficiency anemia is not a known risk factor for leukemia.
Correct Answer is D
Explanation
A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.
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