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
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Nursing Elites

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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?

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. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:

Correct answer: D

Rationale: When determining priorities in patient care, assessing perfusion, respiration, and locomotion are crucial. However, assessing mentation is also important but not typically included in the ABCs of emergency care. Monitoring mentation is essential for neurological assessment and detecting changes in mental status, but it is not part of the immediate priorities in life-threatening situations.

3. As Leda’s nurse, you plan to set up an emergency equipment at her beside following thyroidectomy. You should include:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. Which of the following statements is false?

Correct answer: B

Rationale: The statement that the major function of vitamin E is promoting vision is incorrect. Vitamin E primarily acts as an antioxidant, protecting cells from oxidative damage. Its role is not primarily related to vision, which is a major function of vitamin A. On the other hand, the other options are true. Vitamin K deficiency does indeed lead to increased clotting time, vitamin D functions as a hormone, and carrots, sweet potatoes, and butternut squash are rich sources of beta-carotene.

5. The mentally ill person responds positively to the nurse who is warm and caring. This is a demonstration of the nurse’s role as:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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