Which statement by a client with hypertension secondary to renal disease indicates the need for further teaching?
a. "I can prevent more damage to my kid-neys by managing my blood pressure."
b. "If I have increased urination at night, I need to drink less fluid during the day."
c. "I need to see the dietitian to discuss li-miting my protein intake."
d. "It is important that I take my antihyper-tensive medications as directed."
B
Blood pressure control is needed to slow the progression of renal dysfunction. The client should not restrict fluids to prevent dehydration. Increased nocturnal voiding can be decreased by con-suming the same amount of fluid earlier in the day. When dietary protein is restricted, refer the client to the registered dietitian as needed.
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