The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?
Restrict protein intake by limiting meats and other high protein foods.
Increase intake of high fiber foods, such as bran cereal.
Limit oral fluid intake to 500 mL/day.
Increase intake of potassium rich foods such as bananas or cantaloupe.
The Correct Answer is A
A. Restricting protein intake is often recommended for clients with glomerulonephritis to reduce the workload on the kidneys and decrease proteinuria. This can help slow the progression of kidney damage.
B. Increasing intake of high-fiber foods may be beneficial for overall health but is not specifically indicated for glomerulonephritis management.
C. Limiting oral fluid intake to 500 mL/day is not appropriate for most clients and may lead to dehydration, which can exacerbate kidney dysfunction.
D. Increasing intake of potassium-rich foods may be contraindicated in some cases of glomerulonephritis, especially if the client has hyperkalemia. Dietary potassium restriction may be necessary depending on the client's lab values and kidney function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discontinuing the infusion of the solution may compromise the effectiveness of continuous bladder irrigation, which is typically indicated after TURP to prevent clot retention and ensure urinary drainage.
B. Manual irrigation of the catheter may disrupt the established irrigation system and lead to further complications. It is not the initial action to take in this situation.
C. Monitoring catheter drainage allows the nurse to assess the effectiveness of bladder irrigation and the presence of clot formation. Continued observation is necessary to ensure adequate drainage and identify any signs of complications.
D. Decreasing the flow rate may not address the underlying issue of clot retention and may not be appropriate without further assessment of the client's condition.
Correct Answer is B
Explanation
A. Husky voice and hoarseness are not typically associated with Cushing's syndrome but may be related to other conditions affecting the throat or vocal cords.
B. Central type obesity, with thin extremities, is a classic manifestation of Cushing's syndrome due to excess cortisol, which promotes fat accumulation in the trunk and face while causing muscle wasting in the extremities.

C. Warm, soft, moist, salmon-colored skin is not typically associated with Cushing's syndrome and may indicate other dermatological conditions.
D. Visible swelling of the neck with no pain is not a characteristic finding of Cushing's syndrome and may indicate other underlying issues such as goiter or lymphadenopathy.
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