After teaching a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "I can prevent more damage to my kidneys 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 registered dietitian to discuss limiting my protein intake."
d. "It is important that I take my antihypertensive medications as directed."
ANS: B
The client should not restrict fluids during the day due to increased urination at night. Clients with renal disease may be prescribed fluid restrictions. These clients should be assessed thoroughly for potential dehydration. Increased nocturnal voiding can be decreased by consuming fluids earlier in the day. Blood pressure control is needed to slow the progression of renal dysfunction. When dietary protein is restricted, refer the client to the registered dietitian as needed.
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