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.

Answer and Explanation

The Correct Answer is D

A. Increasing protein intake will not heal the kidney's nephrons in end-stage kidney disease.

B. While preventing malnutrition is important, protein intake needs to be carefully managed to avoid complications from waste buildup.

C. Decreasing protein intake is necessary because the kidneys' ability to filter waste products is compromised.

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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Correct Answer is C

Explanation

A. Past experience with similar problems can provide useful insights but should not be the sole basis for evidence-based decision-making.

B. Related personal values may influence the nurse's perspective, but evidence-based practice should be grounded in objective, empirical data rather than personal beliefs.

C. The relevance of the evidence to the situation is most important. Evidence must be directly applicable to the clinical question and problem at hand to ensure the decision-making process is appropriate and effective.

D. The frequency that the problem occurs can help prioritize issues but does not necessarily impact the quality or applicability of the evidence gathered.

A. Administer antiemetics as needed. B. Withhold food and fluid intake. C. Evaluate intake and output ratio. D. Initiate IV fluid replacement.

Correct Answer is D

Explanation

A. Administering antiemetics is important for symptom management but does not address the primary issue of fluid balance and pancreatic inflammation.

B. Withholding food and fluid intake is a necessary intervention for managing acute pancreatitis, but it is secondary to ensuring adequate fluid resuscitation.

C. Evaluating intake and output is important for monitoring fluid balance but is less critical than initiating fluid replacement.

D. Initiating IV fluid replacement is the highest priority as it addresses the risk of dehydration and maintains hemodynamic stability, which is crucial in acute pancreatitis management.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

When planning care for a client with acute pancreatitis, which nursing intervention has the highest priority?

Correct Answer is D

Explanation

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