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. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.
Correct Answer is B
Explanation
A. Bright orange urine could be caused by certain medications, such as rifampicin and phenazopyridine or food dyes, such as those containing carotene.
B. This is because the obstruction of the bile duct leads to an accumulation of bilirubin in the blood, which is then excreted in the urine, giving it a darker color.
C. Pale yellow urine is indicative of normal urine coloration and is not specific to bile duct obstruction.
D. Red urine could indicate the presence of blood, which might suggest other conditions such as urinary tract infections or kidney stones, but not typically bile duct obstruction.
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