A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that:
1. protein sources are broken down and converted to urea, which is then filtered by the kidney.
2. protein sources are of low biological value.
3. protein increases calcium and sodium levels.
4. deficit protein metabolism breaks down muscle tissue.
1
Protein in the diet increases the amount of nitrogen waste the kidney must handle. Protein does not have low biological value. Protein does not increase calcium and sodium levels. A deficit in protein metabolism does not break down muscle tissue.
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A committee chair schedules a meeting to discuss all points of view and the possible solutions. Of which technique is this an example?
1. Premature concurrence thinking 2. Dialectical inquiry 3. Gatekeeping 4. Mind guarding
A client has to undergo a variation of gastrointestinal endoscopy called esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. What should the nurse observe for while assessing the client during the procedure?
A) Signs of perforation B) The client's level for retaining the barium C) The client's tolerance for pain and discomfort D) Gag reflex
The nurse is discussing development of self-concept in children with a parent group. To promote the development of self-concept in children, the nurse suggests to the parents that they:
a. focus primarily on the child's weaknesses. b. focus only on the child's accomplishments. c. give realistic feedback concerning abilities and limitations. d. recognize that self-esteem does not develop until adolescence.
The nurse is observing a patient learning to use crutches. Which observation would prompt the nurse to reinforce teaching about crutch walking?
1. The axillary crutches have been sized so they do not touch the patient's axilla. 2. The patient using axillary crutches places the weight on the palms of the hands when walking. 3. The cuff of the patient's forearm crutch fits just above the elbow. 4. The patient places only part of the weight on forearm crutches.