A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

"I will enjoy eating cantaloupe for my morning snack."

"I can easily add baked potatoes to my diet."

"Eating yogurt will be a new experience."

"Adding pecans will be a change I can readily make."

Answer and Explanation

The Correct Answer is D

Choice A rationale: Cantaloupe is high in potassium. Clients with acute kidney injury (AKI) have impaired potassium excretion, and consuming high-potassium foods increases the risk of hyperkalemia, which can lead to cardiac arrhythmias.

Choice B rationale: Baked potatoes contain significant potassium, especially in the skin. In AKI, potassium retention is dangerous, so this choice reflects poor understanding of dietary restrictions for renal safety.

Choice C rationale: Yogurt is rich in potassium and phosphorus. In AKI, both electrolytes may accumulate due to reduced renal clearance, making yogurt an inappropriate choice without close monitoring.

Choice D rationale: Pecans are low in potassium, making them a safer snack for clients with AKI. Choosing low-potassium foods demonstrates appropriate understanding of renal dietary management.

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Correct Answer is B

Explanation

Choice A reason: Taking 3,000 mg of vitamin C daily is not recommended as it may increase the risk of calcium oxalate stones due to possible conversion of vitamin C to oxalate.

Choice B reason: Drinking 3 L of fluid every day is advised to prevent kidney stones by diluting the urine and reducing the concentration of stone-forming substances.

Choice C reason: Eating 12 oz of animal protein daily is excessive and can increase the risk of kidney stones due to higher excretion of calcium and oxalate.

Choice D reason: Restricting calcium intake to one serving per day is not recommended as a normal calcium intake is necessary to bind oxalate in the gut and reduce oxalate absorption.

A. "My period ended 2 days ago." B. "I don't eat shellfish because it gives me hives." C. "I drink at least 2 quarts of fluid every day." D. "The last time I voided, it was painful and red-tinged."

Correct Answer is B

Explanation

Choice A reason: The end of a menstrual period is not relevant to the intravenous pyelogram procedure.

Choice B reason: An allergy to shellfish is important to report as the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.

Choice C reason: Drinking fluids is generally encouraged to prevent kidney stones and is not a concern for the provider.

Choice D reason: Painful and red-tinged urination is a symptom of kidney stones but does not need to be reported unless it is a new or worsening symptom.

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A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Correct Answer is B

Explanation

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