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When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which instruction should the nurse include in the dietary teaching?

Eat high-potassium foods.

Select a protein-rich food daily.

Avoid foods high in carbohydrates.

Restrict sodium intake.

Answer and Explanation

The Correct Answer is D

Choice A reason: High-potassium foods should be monitored but are not the primary concern for AGN.

Choice B reason: Protein intake should be managed but not necessarily increased.

Choice C reason: Avoiding high-carbohydrate foods is not specific to AGN management.

Choice D reason:

The correct answer is d) because restricting sodium intake helps manage fluid retention and hypertension, which are common issues in AGN.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because visualizing the abdominal incision will help the nurse assess for wound dehiscence or evisceration, which requires immediate intervention.

Choice B reason: Notifying the healthcare provider is necessary but comes after assessing the wound.

Choice C reason: Obtaining sterile towels soaked in saline is important if dehiscence or evisceration is confirmed but is not the first action.

Choice D reason: Reassuring the client is important but does not address the immediate need to assess the wound.

A. Provide the client with additional oral fluids of her preference. B. Measure the client's capillary glucose reading at regular intervals. C. Encourage the client to use hard candy frequently to help relieve thirst. D. Withhold the next diuretic dose until contacting the healthcare provider.

Correct Answer is C

Explanation

Choice A reason: Providing additional oral fluids is not appropriate for SIADH and can worsen fluid retention.

Choice B reason: Measuring glucose levels is important for diabetes management but not directly related to SIADH.

Choice C reason: Offering hard candy stimulates saliva production and soothes oral mucosa, providing relief of dry mouth and the perception of thirst without adding significant fluid volume, thereby supporting strict fluid restriction in SIADH management.

Choice D reason:

Withholding a prescribed diuretic without a clear order can disrupt the therapeutic plan, exacerbate fluid retention, and falls outside the nurse’s scope; diuretic adjustments should only follow provider directions.

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When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which instruction should the nurse include in the dietary teaching?

Nursing Test Bank

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