Question 1

A nurse is educating the client with chronic kidney disease on appropriate kilocalorie needs. Inadequate nonprotein kilocalories will exacerbate which of the following?

Accepted Answer

A)  Uremia
B)  Stomatitis
C)  Hypokalemia
D)  Hypotension A

Question 2

Which of the following clients has the highest protein intake need?

Accepted Answer

A)  Predialysis client
B)  Hemodialysis client
C)  Continuous ambulatory peritoneal dialysis client
D)  Automated peritoneal dialysis C

Question 3

A client who is restricting potassium in his or her diet should avoid which of the following foods?

Accepted Answer

A)  Avocado
B)  Canned bean sprouts
C)  Honey
D)  Cornstarch A

Question 4

A nurse is caring for a client on dialysis whose fluid intake is restricted. How much fluid can be given if the fluid restriction is 1,500 mL? Select all that apply.

Accepted Answer

A)  600 mL with meals
B)  700 mL with meals
C)  1,000 mL with meals
D)  500 mL with medications
E)  600 mL with medications

Question 5

A nurse is caring for a client in stage 2 kidney failure. Which nutrient modifications should the nurse anticipate? Select all that apply.

Accepted Answer

A)  CHO
B)  Sodium
C)  Potassium
D)  Phosphorus
E)  RDA for protein

Question 6

A nurse is caring for a client in stage 1 kidney failure. Which nutrition modification should the nurse anticipate?

Accepted Answer

A)  CHO control
B)  Sodium reduction
C)  Potassium supplementation
D)  Phosphorus control

Question 7

A client who needs to restrict their potassium intake should avoid which of the following foods? Select all that apply.

Accepted Answer

A)  Mango
B)  Bran cereal
C)  Baked potatoes
D)  Jams and jellies
E)  Molasses

Question 8

A client who needs to restrict his or her phosphorus intake should avoid which of the following foods? Select all that apply.

Accepted Answer

A)  Navy beans
B)  Almonds
C)  Baked potatoes
D)  Mango
E)  Sardines

Question 9

A nurse is educating the family of a client who has chronic kidney disease. Which of the following statements made by the nurse is accurate? Select all that apply.

Accepted Answer

A)  One of our goals is to prepare the client for dialysis.
B)  These treatments are designed to minimize uremic toxicity.
C)  I will be in constant contact with you, the client, and the care team.
D)  I will be monitoring the client closely and often.
E)  There is no standard nutritional plan for clients with kidney disease.

Question 10

A nurse is working with the dietitian to manage the care of a client on hemodialysis. Which goal would the nurse expect in this client's nutrition plan?

Accepted Answer

A)  Increase potassium levels
B)  Increase hydration
C)  Reverse progression of renal osteodystrophy
D)  Prevent net protein catabolism

Question 11

A nurse keeps in close communication with chronic kidney clients and the health-care team because: Select all that apply.

Accepted Answer

A)  Client conditions are constantly changing.
B)  Nurses can influence client compliance with renal diets.
C)  Clients require occasional counseling.
D)  Nurses often need to coax these clients to eat.
E)  Clients require constant assessment and monitoring.

Question 12

Which of the following is accurate about acute kidney failure? Select all that apply.

Accepted Answer

A)  It may be temporary.
B)  It is usually progressive.
C)  It occurs suddenly.
D)  It usually requires transplantation.
E)  It usually requires long-term dialysis.

Question 13

Which of the following are the leading causes of kidney failure? Select all that apply.

Accepted Answer

A)  Diabetes
B)  Hypertension
C)  Trauma
D)  Medications
E)  Birth defects

Question 14

A nurse knows that monitoring sodium in the client with chronic kidney disease will primarily help:

Accepted Answer

A)  Control blood glucose levels.
B)  Control blood pressure.
C)  Reduce cardiovascular disease risk.
D)  Bone health.

Question 15

Which of the following is the most common cause of renal failure?

Accepted Answer

A)  Trauma
B)  Medications
C)  Diabetic nephropathy
D)  Myocardial infarction

Question 16

What is the rate of malnutrition among clients on hemodialysis?

Accepted Answer

A)  10%
B)  14%
C)  34%
D)  50%

Question 17

A nurse is caring for a client with chronic kidney disease. The client has elevated serum phosphorus levels, which may lead to:

Accepted Answer

A)  Low serum calcium levels.
B)  Hypokalemia.
C)  Aggravated uremia.
D)  Brittle bones.

Question 18

A nurse is caring for a client with renal disease who needs to increase protein. Consuming which of the following would be most beneficial to the client?

Accepted Answer

A)  Eggs
B)  Beans
C)  Almonds
D)  Quinoa

Question 19

A nurse is caring for a client on dialysis who is restricted to 1,000 mL of fluid. Which amount of fluid should be used at meals without medications?

Accepted Answer

A)  400 mL
B)  500 mL
C)  600 mL
D)  700 mL

Question 20

A nurse is caring for a hemodialysis client. The nurse knows that which of the following nutrients will likely need to be increased due to treatment?

Accepted Answer

A)  Phosphorus
B)  Potassium
C)  Protein
D)  Sodium

Exam 19: Diet in Renal Disease