Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD) indicates that the nurse's teaching about management of CKD has been effective?
a. "I need to get most of my protein from low-fat dairy products."
b. "I will increase my intake of fruits and vegetables to 5 per day."
c. "I will measure my urinary output each day to help calculate the amount I can drink."
d. "I need to take erythropoietin to boost my immune system and help prevent infection."
ANS: C
The patient with end-stage kidney disease is taught to measure urine output as a means of determining an appropriate oral fluid intake. Erythropoietin is given to increase the red blood cell count and will not offer any benefit for immune function. Dairy products are restricted because of the high phosphate level. Many fruits and vegetables are high in potassium and should be restricted in the patient with CKD.
You might also like to view...
A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?
a. African-American churches b. Asian-American groceries c. High school sports camps d. Women's health clinics
The nurse is performing a health assessment. Which of the questions will provide the greatest assistance in the determination of discharge planning needs?
1. "Do you live alone?" 2. "Did you graduate from high school?" 3. "Are you involved in any types of exercise programs?" 4. "What steps have you taken to ensure your care when you go home?"
Which statement by the nurse best supports an understanding of complementary and/or alternative therapies in the treatment of clients?
A) "Alternative therapies are mainstay to conventional medical care." B) "Complementary therapies should be avoided in advanced disease." C) "Complementary therapies are evidence-based in theory." D) "Alternative and complementary therapies are sensitive to culture and tradition."
A patient with severe nerve pain from spinal cord compression is considering surgery to sever the nerves and relieve the pain. What should the nurse encourage the patient to consider prior to having this surgery?
A. Pain medication will still be needed after the surgery. B. The patient will be a paraplegic after the surgery. C. The surgery will need to be repeated when the nerves regenerate. D. There may be loss of motor function associated with the nerves that will be severed.