Before development of end-stage renal disease, the primary focus of nutrition therapy for patients with chronic renal failure is

a. limiting intake of sodium and fluid.
b. limiting foods that produce toxic metabolic byproducts.
c. providing sufficient protein to prevent secondary complications.
d. providing adequate energy, protein, and nutrients to promote recovery.


Answer: b. limiting foods that produce toxic metabolic byproducts.

Nursing

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A client displaying behaviors consistent with acute mania approaches the nurse, waves a newspaper,

and says "I need to make a phone call right this minute. I need to call this department store while their sale is going on. I am going to order 10 dresses and four pairs of shoes.". The most appropriate intervention would be for the nurse to a. tell the client she is not allowed to use the phone until she is in better control. b. suggest the client have someone shop for her and bring purchases to the unit. c. ask whether the client has enough money to pay for the purchases. d. invite the client to go to her room to see a new fashion magazine.

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Which of the following is known as the pacemaker of the heart?

a. Sinoatrial node. b. Atrioventricular node. c. Bundle of His. d. Purkinje fibres.

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A patient with respiratory failure would have which of the following acid–base abnormalities?

a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis

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Which of the following clients would the nurse determine needs further teaching regarding the precautions of alternative therapy?

1. The client who makes ginger tea for an upset stomach 2. The client who rubs oil on the stomach to relieve flatulence 3. The client taking a bowel-cleansing tea who reports vomiting and diarrhea 4. The client who meditates in a yoga position once a day

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