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."
The Correct Answer is B
The correct answer is choice D. “Adding pecans will be a change I can readily make.”
Choice A rationale: Cantaloupe is a fruit that is high in potassium. For individuals with acute kidney injury, it is important to limit potassium intake because their kidneys may not be able to effectively eliminate excess potassium from the bloodstream. Therefore, choosing cantaloupe for a snack would not indicate an understanding of the dietary restrictions necessary for managing potassium levels.
Choice B rationale: Baked potatoes are another food item that contains a significant amount of potassium. Similar to cantaloupe, consuming baked potatoes would not be advisable for someone who needs to control their potassium intake due to impaired kidney function. The client’s statement about adding baked potatoes to their diet does not reflect an understanding of the teaching provided.
Choice C rationale: Yogurt, while a nutritious food, also contains a considerable amount of potassium. For a client with acute kidney injury, eating yogurt could contribute to an undesirable increase in potassium levels, which the damaged kidneys may not be able to process efficiently. Thus, the client’s interest in eating yogurt does not demonstrate a correct understanding of the dietary guidelines given their condition.
Choice D rationale: Pecans are a low-potassium food option, making them a suitable choice for someone with acute kidney injury who needs to monitor and limit their potassium intake. The client’s willingness to add pecans to their diet indicates a proper understanding of the dietary changes necessary to manage their condition effectively. Therefore, this choice is the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is ["A","B"]
Explanation
Choice A reason: The normal range for serum creatinine in adult females is approximately 0.6–1.1 mg/dL. A level of 1.8 mg/dL is elevated and indicates impaired kidney function, which is a risk factor for AKI.
Choice B reason: Normal BUN levels are generally between 6 to 24 mg/dL⁸. A BUN level of 200 mg/dL is significantly elevated and suggests kidney dysfunction, which can lead to AKI.
Choice C reason: Serum osmolality in the normal range, which is typically between 275 to 295 mOsm/kg H2O for adults⁹[13][^10^][14][16], does not indicate an increased risk of AKI.
Choice D reason: The normal range for serum magnesium is typically 1.7 to 2.2 mg/dL or 0.85 to 1.10 mmol/L. A level of 2.0 mEq/L (which is equivalent to 2.0 mg/dL) is within the normal range and does not indicate an increased risk for AKI.
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