A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?
"I will put beverages in large containers to give the appearance of drinking a lot.”.
"I should consume most of the fluid during the evening.”.
"I will make a list of my favorite beverages.”.
"I will not add ice cream to the amount of fluid intake.”.
The Correct Answer is C
The correct answer is Choice C: "I will make a list of my favorite beverages."
Choice A rationale: Stating that they will put beverages in large containers to give the appearance of drinking a lot demonstrates a lack of understanding of fluid restriction guidelines. It focuses on the appearance rather than the actual fluid intake limitation. This statement does not reflect an understanding of the need to limit fluids in acute kidney disease.
Choice B rationale: Consuming most fluids during the evening is not recommended for clients with acute kidney disease as it may lead to discomfort, nighttime urination, and fluid overload. This statement does not demonstrate an understanding of the importance of spreading fluid intake throughout the day.
Choice C rationale: Making a list of favorite beverages indicates the client's understanding of fluid restrictions. This approach can help the client prioritize their preferred beverages while staying within their prescribed fluid allowance. It shows that the client is aware of the need to be selective in their fluid intake.
Choice D rationale: Although avoiding ice cream is an appropriate action due to its contribution to fluid intake, this statement alone does not necessarily indicate a comprehensive understanding of fluid restrictions. The client must also be aware of the importance of monitoring all sources of fluid intake, including other foods and beverages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
Correct Answer is B
Explanation
Choice A rationale:
Alteration in body image is a concern, but it’s not the priority. The priority is addressing the client’s physiological needs first.
Choice B rationale:
Impaired tissue perfusion is the priority nursing diagnosis. Varicose veins with ulcerations and edema indicate poor blood flow, which can lead to tissue damage if not addressed.
Choice C rationale:
Impaired skin integrity is a concern due to the ulcerations, but it’s secondary to impaired tissue perfusion.
Choice D rationale:
Alteration in activity tolerance may be present due to the feeling of heaviness, but it’s not the priority.
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