a nurse is teaching a client who has pre dialysis end stage kidney disease about diet which of the following instructions should the nurse include

ATI RN

ATI Nutrition

1. A client with pre-dialysis end-stage kidney disease is being taught about diet. Which of the following instructions should the nurse include?

A. Increase intake of dietary phosphorus.
B. Eliminate foods high in protein from your diet.
C. Reduce intake of foods high in potassium.
D. Increase intake of sodium-containing foods.

Correct answer: C

Rationale: In pre-dialysis end-stage kidney disease, reducing intake of foods high in potassium is crucial as impaired kidney function can lead to potassium buildup in the blood, which can be dangerous. High potassium levels can cause irregular heartbeats and even cardiac arrest. Therefore, advising the client to reduce potassium-rich foods is essential to prevent complications. Choices A, B, and D are incorrect. Increasing dietary phosphorus, eliminating foods high in protein, or increasing sodium-containing foods are not appropriate recommendations for a client with pre-dialysis end-stage kidney disease as they can exacerbate the condition.

2. Which food has the highest calcium content?

A. soy products
B. milk
C. cereal grains
D. dark green vegetables

Correct answer: B

Rationale: The correct answer is B, milk. Milk is known for being one of the best dietary sources of calcium, essential for bone health and various bodily functions. Soy products, cereal grains, and dark green vegetables are good sources of calcium as well, but milk generally has a higher calcium content compared to these options.

3. What is the recommended dietary intervention for a patient with hyperlipidemia?

A. Increase saturated fat intake
B. Reduce fiber intake
C. Increase dietary fiber intake
D. Reduce protein intake

Correct answer: C

Rationale: Increasing dietary fiber can help reduce cholesterol levels in patients with hyperlipidemia.

4. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team) in discharge results in comprehensive care. What do you call this?

A. Discharge Summary
B. Nursing Kardex
C. Medicine and Treatment Record
D. Nursing Health History and Assessment Worksheet

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.