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. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

A. Carry on with surgical preparation of the client without a signed informed consent. B. Notify the unit manager that an emergency court order is needed to allow surgery. C. Ask the client's friend to sign the informed consent since the client is unresponsive. D. Continue to provide life support until a thorough search for a guardian is completed.

Correct Answer is A

Explanation

A. In emergency situations where immediate surgery is required to save a client's life and no family members are available, healthcare providers can proceed without signed informed consent based on implied consent for life-saving treatment.

B. Seeking an emergency court order would delay necessary treatment and is not the priority in an immediate life-threatening situation.

C. A friend typically does not have the legal authority to sign informed consent unless legally designated as the client's healthcare proxy.

D. Continuing to provide life support without proceeding with necessary surgery could jeopardize the client's life.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?

Correct Answer is C

Explanation

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

Correct Answer is A

Explanation

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