The nurse is educating a patient with chronic kidney disease (CKD) about dietary modifications. Which foods should the patient avoid? (Select all that apply.)
White Rice
Baked Salmon
Spinach
Apples
Bananas
Correct Answer : B,C,E
A. White Rice: Low in potassium and phosphorus, making it a safe choice.
B. Baked Salmon: High in phosphorus, which should be limited in CKD.
C. Spinach: High in oxalates, which can contribute to kidney stones.
D. Apples: Low in potassium and safe for CKD patients.
E. Bananas: High in potassium, which can cause dangerous levels in CKD.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) "It increases my urine output." ADH reduces urine output by increasing water retention.
(B) "It reduces the reabsorption of sodium in my kidneys." ADH affects water reabsorption, not sodium regulation.
(C) "It decreases water reabsorption in my kidneys." ADH increases, not decreases, water reabsorption.
(D) "It helps retain water to maintain my blood pressure." ADH promotes water reabsorption in the kidneys, reducing urine output and increasing blood volume, which helps maintain blood pressure.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Diabetes Insipidus:
- Polyuria: ADH deficiency/resistance causes excessive urine output.
- Hypernatremia: Excessive water loss leads to high serum sodium levels.
- Dilute Urine: The kidneys cannot concentrate urine without ADH.
SIADH:
- Decreased Urine Output: Excess ADH leads to water retention and decreased urination.
- Hyponatremia: Water retention dilutes sodium levels.
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