A client with a history of diabetes mellitus has new onset of microalbuminuria. Which component of the diet must the client reduce?
a. Percentage of total calories derived from carbohydrates
b. Percentage of total calories derived from proteins
c. Percentage of total calories derived from fats
d. Total caloric intake
B
Restriction of dietary protein to 0.8 g/kg body weight/day is recommended for clients with mi-croalbuminuria to retard progression to renal failure. The other options would not be needed.
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A child has had a heart transplant. In preparation for discharge, the nurse provides teaching about home medications
The nurse recognizes that postoperative teaching has been successful when the parents state that the child is on cyclosporin A to: 1. Treat hypertension. 2. Reduce serum cholesterol level. 3. Prevent rejection. 4. Treat infections.
The nurse is assisting a client to select a meal that is high in carbohydrates. The nurse concludes that the client understands recommendations when the client selects:
1. chicken salad, milk, and an apple. 2. peanut butter and jelly on white bread. 3. egg salad on whole wheat toast, milk, and pears. 4. fried chicken, cookies, and a soda.
When a father states, "I don't understand what the doctor means by saying my daughter has an adjustment disorder." The nurse explains that this disorder often results from:
a. Failure of existing coping skills b. Lack of stable emotional support c. Denial that a problem truly exists d. Overcompensation to present a controlled appearance
Which action is most consistent with providing culturally competent care to patients with psychiatric disorders?
Reviewing the patient’s cultural heritage based on information in the medical record Seeking input from members of the patient’s care team Providing patient care that is institutionally specific Asking what the illness means to the patient