1
The nurse provides dietary instruction to a client with kidney disease. The nurse informs the client which nutrient is not directly absorbed by the kidney?
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Calcium
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Sodium
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Magnesium
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Potassium
2
Which laboratory value would indicate to the nurse that an adult male client has a potential renal problem?
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Serum creatinine: 1.5 mg/dL
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Blood urea nitrogen: 7 mg/dL
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Glomerular filtration rate: 93 mL/min/1.73 m
2
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Potassium: 4.1 mg/dL
3
When should the nurse perform a bladder scan to determine a client’s PVR?
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Before the client voids
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Immediately after the client voids
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One hour after the client voids
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When the client has the urge to void
4
Which snack choice made by a client indicates to the nurse that the client understands the need to increase complex carbohydrates in the diet?
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Snack cakes
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Crackers
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Muffins
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Fruits
5
Which nutritional instruction would the nurse give to a client with CKD who is not on dialysis?
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Decrease calcium intake.
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Use plant sources of protein before animal sources.
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Increase intake of trans fat.
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Reduce dietary fiber.
6
When developing a nutritional plan of care, which factor should the nurse consider for improving client adherence to plan?
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Level of engagement
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Age
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Gender
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Comorbidities
7
Which assessment finding in a client on dialysis is of concern to the nurse?
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Client is not restricting protein intake.
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Client chooses foods that are low in potassium.
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Client drinks large amounts of fluids.
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Client has increased intake of calcium.
8
What instruction should the nurse give to a client on a fluid restriction secondary to kidney disease who reports increased thirst?
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Suck on hard, sweet candies.
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Use large glasses for drinking.
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Fill drinking glasses completely.
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Sip fluids slowly.
9
Which food item on a 72-hour nutritional recall does the nurse identify as appropriate for a client who needs to restrict phosphorous intake?
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Vanilla ice cream
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Potato chips
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Hot dogs
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Chocolate milk
10
Which food selection on a 72-hour recall indicates to the nurse that a client who must restrict potassium and sodium intake requires more instruction?
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Salt substitute
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Cauliflower
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Grapes
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Apple