The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?
The intake of protein should be increased to assist in healing the function of the kidney's nephrons.
The intake of protein should be increased to prevent malnutrition and increase energy.
The intake of protein should be decreased due to the progressively failing function of the kidney.
The protein intake should be decreased to prevent nitrogenous waste buildup.
The Correct Answer is B
A.
In end-stage kidney failure, nephron damage is permanent and irreversible. Increasing protein does not restore kidney function.
B. Clients with end-stage kidney disease (ESKD) who are receiving dialysis require increased protein intake. Dialysis removes not only waste products but also amino acids and proteins. Without adequate protein intake, the client is at risk for malnutrition, muscle wasting, poor wound healing, and decreased energy. Therefore, protein intake is increased to replace losses and maintain nutritional status.
C. Protein restriction is appropriate in earlier stages of chronic kidney disease to reduce workload on the kidneys. However, once the client is on dialysis, protein needs increase.
D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Reviewing laboratory values is important but not the first step when the primary concern is diarrhea.
B. Auscultating bowel sounds is helpful but does not provide immediate information about the cause of diarrhea.
C. Assessing skin elasticity is relevant if dehydration is suspected, but observing the stool provides more immediate information.
D. Observing the appearance of the stool can help identify if there is an infectious or inflammatory cause of diarrhea that may need further evaluation.
Correct Answer is B
Explanation
A. Hiring a private nurse may be an option but is not the most immediate or practical solution given the client's current resources and concerns.
B. Suggesting contacting social services to find respite care is a practical and immediate solution to ensure her husband’s care while the client recovers.
C. A case management evaluation is helpful but may not address the immediate need for respite care during the client's recovery period.
D. Recommending that the family return might not be feasible or immediate, and respite care can provide the necessary support during recovery.
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