After teaching a client with early polycystic kidney disease (PKD) about nutritional therapy, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
a. "I will take a laxative every night before going to bed."
b. "I must increase my intake of dietary fiber and fluids."
c. "I shall only use salt when I am cooking my own food."
d. "I'll eat white bread to minimize gastrointestinal gas."
ANS: B
Clients with PKD often have constipation, which can be managed with increased fiber, exercise, and drinking plenty of water. Laxatives should be used cautiously. Clients with PKD should be on a restricted salt diet, which includes not cooking with salt. White bread has a low fiber count and would not be included in a high-fiber diet.
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What is the most appropriate response by the nurse when a 20-year-old woman pregnant with her first child and diagnosed with gestational diabetes mellitus (GDM) asks if she will develop diabetes in the future?
A) "There is a chance that you may develop diabetes in the next 10-20 years, so monitoring would be appropriate." B) "It is impossible to tell–we don't know anything about the risk factors for diabetes." C) "Your risk for developing diabetes in the future is high because you are young." D) "You cannot develop gestational diabetes (GDM) in future pregnancies, this only happens with your first pregnancy."
The nurse is caring for a woman who is in early labor. The woman wants to avoid pain medications as long as possible. What will the nurse tell her?
a. "I can give you a sedative-hypnotic now to help you relax." b. "I can teach you some simple breathing exercises to help lessen discomfort." c. "If you take fentanyl (Sublimaze) now, it will be more effective than if you wait." d. "You may take ibuprofen, which won't cause drowsiness."
The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch?
a. A 15-year-old adolescent with a fractured femur b. A 30-year-old adult with cellulitis c. A 50-year-old patient with prostate cancer d. An 80-year-old patient with a broken hip
The nurse plans to help reduce episodes of bowel incontinence by a proactive program of:
a. encouraging intake of foods that cause mild constipation. b. using appropriate disposable garments, pads, and bed covering. c. establishing a toileting schedule. d. coaching the patient in Kegel exercises.