A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

"A low-protein diet reduces the risk for edema."

"A low-protein diet will reduce the risk for hyperkalemia

"A low-protein diet will increase the nitrogenous wastes in the blood."

"A low protein diet reduces the risk for uremia."

Answer and Explanation

The Correct Answer is D

A.   Edema in chronic kidney failure is more closely associated with sodium and water retention rather than protein intake.
B.   Hyperkalemia in chronic kidney failure can be managed by restricting dietary potassium intake, but it is not primarily related to protein intake.
C.   A low-protein diet aims to decrease, not increase, nitrogenous wastes in the blood.
D.   A low-protein diet reduces the risk for uremia, a condition resulting from chronic kidney failure where urea and other waste products build up in the body due to impaired renal function. A low-protein diet helps decrease the workload on the kidneys by reducing the amount of nitrogenous waste they need to filter and excrete.

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Correct Answer is ["A","B","D"]

Explanation

A. Bone pain can occur in ESRD due to mineral and bone disorders associated with chronic kidney disease.
B. Slurred speech can be seen in ESRD patients with uremic encephalopathy.
C. Hypotension is less common in ESRD; hypertension is more typical due to fluid overload and retention.
D. Pruritus is a common symptom of ESRD, often due to accumulation of uremic toxins.
E. Bradypnea is not typically associated with ESRD.

A. Hypomagnesemia B. Hypokalemia C. Hyperkalemia D. Hypermagnesemia

Correct Answer is B

Explanation

A. While electrolyte imbalances can occur in nephrotic syndrome, hypomagnesemia is not typically associated with corticosteroid therapy.
B. Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
C. Corticosteroid therapy is not typically associated with hyperkalemia.
D. Hypermagnesemia is not typically associated with nephrotic syndrome or corticosteroid therapy.

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A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is B

Explanation

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