A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
Limit protein intake.
Increase potassium intake.
Limit calcium intake.
Increase phosphorus intake.
The Correct Answer is A
Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice D rationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice C rationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Avoiding glutamine is not a typical recommendation for managing Crohn's disease. Glutamine is an amino acid that plays a role in gut health, and its avoidance wouldn't necessarily aid in disease recovery.
Choice B rationale:
Limiting the amount of fiber in the diet is important for clients with Crohn's disease. High-fiber foods can exacerbate symptoms by causing bowel irritation and increasing motility. A low-fiber diet can help reduce inflammation and discomfort in the digestive tract.
Choice Crationale:
Taking mild laxatives is generally not recommended for individuals with Crohn's disease. Laxatives can irritate the digestive tract and potentially worsen symptoms. Bowel movements should be managed with dietary and lifestyle modifications under the guidance of a healthcare provider.
Choice Drationale:
It's not common for individuals with Crohn's disease to gain weight due to the disease itself. In fact, weight loss is a more typical symptom due to reduced nutrient absorption and increased metabolism.
Correct Answer is D
Explanation
Choice A rationale:
Canned potato soup is not a suitable choice for a heart-healthy diet. Canned soups often contain high levels of sodium, which can contribute to hypertension and worsen coronary artery disease.
Choice Brationale:
Baked ham is another poor choice for a heart-healthy diet. Processed meats like ham tend to be high in sodium, saturated fats, and preservatives, which can negatively impact cardiovascular health.
Choice Crationale:
Processed cheese is also not recommended for a heart-healthy diet. Processed cheese can be high in saturated fats and sodium, both of which are detrimental to cardiovascular health.
Choice D rationale:
The correct choice is broiled salmon. Salmon is rich in omega-3 fatty acids, which have been shown to have protective effects on the heart. Omega-3 fatty acids can help lower triglyceride levels, reduce inflammation, and improve overall cardiovascular health. Broiling the salmon is a heart-healthy cooking method that preserves its nutritional value without adding excessive unhealthy fats.
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