Exam 24: Renal Disease

A client receiving renal replacement therapy over 5 years has lost 40 lbs. and has significant muscle wasting. How should the nurse document this finding?

A client with chronic kidney disease has lower extremity edema despite following a no-added salt diet. Which sources of dietary sodium should the nurse identify when analyzing this client's diet?

A client who prefers complementary treatments reports drinking cranberry juice to prevent UTIs. What should the nurse respond to this client?

A client is diagnosed with renal stones composed of calcium oxalate. Which food item should the nurse instruct this client to avoid?

A client receiving hemodialysis treatments wants to take a multivitamin supplement several times a day. Which direction should the nurse provide to this client?

A client recovering from nephrotic syndrome asks why medication for hypertension has been prescribed. Which response should the nurse make to this client?

When counseling a client with chronic kidney disease the nurse recommends that 50% of dietary protein come from sources with high biological value. Which food should the nurse suggest to this client?

A client is being treated for chronic kidney disease. When monitoring this client's nutritional status, for which health problem is the nurse assessing?

A Latino client receiving hemodialysis for chronic kidney disease has an elevated potassium level. Which food item most likely contributed to this elevated level?

A client with chronic kidney disease has elevated C-reactive protein and tumor necrosis factors. Which action should the nurse take for this client?

A client receiving form a kidney transplant is diagnosed with hyperlipidemia. Which health problem will be prevented when this client is treated with a lipid-lowering agent and a therapeutic diet?

The healthcare provider prescribes an iron supplement for a client with chronic kidney disease. Which health problem is this medication intended to prevent?

A client with anemia receives erythropoietin. Foods containing which nutrient should the nurse encourage the client to ingest?

The nurse reviews the use of cranberry juice to prevent urinary tract infections. What additional information should the nurse emphasize with this client?

A client with a history of urinary tract infections asks if probiotic dietary supplements can prevent the infections. Which response should the nurse make to this client?

A client with a kidney injury is experiencing muscle cramps, itchy skin, and a metallic taste in the mouth. Which additional finding should the nurse expect when assessing this client? (Select all that apply.)

A client with nephrotic syndrome is prescribed 0.8 gm/kg/day of protein. What should the client receive in addition to this daily protein amount?

A client recovering from a kidney transplant is prescribed corticosteroids. For which potential health problem should the nurse identify interventions for this client?

A client recovering from a kidney transplant is not on a protein-restricted diet. What should the nurse consider as the reason for this dietary change?

A client is being treated for acute kidney injury. Which laboratory value should the nurse closely monitor in this client?