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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["21"]
Explanation
To calculate the flow rate in gtt/min, you can use the formula: (Volume in mL * Drop factor) / Time in minutes.
For 1 L of lactated Ringer's IV, which is 1000 mL, to be infused over 12 hours (720 minutes), with a drop factor of 15 gtt/mL, the calculation would be: (1000 mL * 15 gtt/mL) / 720 minutes = 15000 gtt / 720 minutes ≈ 20.83 gtt/min.
Therefore, the nurse should regulate the infusion to approximately 21 gtt/min.
Correct Answer is B
Explanation
A. It is not necessary to keep the infant home from daycare unless the infant has a fever or other signs of illness.
B. Applying a cool pack to the injection site can help reduce discomfort and swelling.
C. Mild fever after vaccinations is common and not typically serious, but high or persistent fever should be reported.
D. Aspirin should not be given to children due to the risk of Reye's syndrome. Acetaminophen or ibuprofen (for infants older than 6 months) are safer alternatives for reducing fever and discomfort.
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