The nurse is teaching a child experiencing chronic renal failure about his diet. The nurse should discuss which of the following dietary recommendations?
Calcium intake should be restricted.
The child should eat three large meals per day and limit snacks between meals.
Potassium intake should be limited.
Sodium intake should be increased.
The Correct Answer is C
Choice A reason: Restricting calcium intake is not typically recommended for children with chronic renal failure as they may already be at risk for bone disease due to altered calcium metabolism.
Choice B reason: Eating three large meals per day and limiting snacks is not specific dietary advice for chronic renal failure; nutritional needs should be tailored to the individual.
Choice C reason: This is the correct choice. In chronic renal failure, the kidneys may not be able to remove excess potassium, leading to hyperkalemia, which can be dangerous.
Choice D reason: Increasing sodium intake is not generally recommended for chronic renal failure as it can contribute to hypertension and fluid retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Taking the child on a tour might be overwhelming and increase anxiety due to the new environment and sensory overload.
Choice B reason: Placing the child in a four-bed room could lead to overstimulation and discomfort due to the presence of multiple unfamiliar people.
Choice C reason: Orienting the child to the hospital room provides a safe and controlled environment, allowing for gradual adjustment to the new setting.
Choice D reason: Immediately taking the child to the playroom for arts and crafts might be too stimulating and could exacerbate stress rather than ease the transition.
Correct Answer is C
Explanation
Choice A reason: Adolescents are capable of more complex thinking and are less likely to view illness as a punishment for misdeeds.
Choice B reason: Infants do not have the cognitive ability to associate illness with punishment.
Choice C reason: This is the correct choice. Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds.
Choice D reason: School-age children are beginning to understand the biological causes of illness and are less likely to view it as a punishment.
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