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Review Questions

Review Questions

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?
  1. Calcium
  2. Sodium
  3. Magnesium
  4. Potassium
2.
Which laboratory value would indicate to the nurse that an adult male client has a potential renal problem?
  1. Serum creatinine: 1.5 mg/dL
  2. Blood urea nitrogen: 7 mg/dL
  3. Glomerular filtration rate: 93 mL/min/1.73 m2
  4. Potassium: 4.1 mg/dL
3.
When should the nurse perform a bladder scan to determine a client’s PVR?
  1. Before the client voids
  2. Immediately after the client voids
  3. One hour after the client voids
  4. 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?
  1. Snack cakes
  2. Crackers
  3. Muffins
  4. Fruits
5.
Which nutritional instruction would the nurse give to a client with CKD who is not on dialysis?
  1. Decrease calcium intake.
  2. Use plant sources of protein before animal sources.
  3. Increase intake of trans fat.
  4. Reduce dietary fiber.
6.
When developing a nutritional plan of care, which factor should the nurse consider for improving client adherence to plan?
  1. Level of engagement
  2. Age
  3. Gender
  4. Comorbidities
7.
Which assessment finding in a client on dialysis is of concern to the nurse?
  1. Client is not restricting protein intake.
  2. Client chooses foods that are low in potassium.
  3. Client drinks large amounts of fluids.
  4. 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?
  1. Suck on hard, sweet candies.
  2. Use large glasses for drinking.
  3. Fill drinking glasses completely.
  4. 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?
  1. Vanilla ice cream
  2. Potato chips
  3. Hot dogs
  4. 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?
  1. Salt substitute
  2. Cauliflower
  3. Grapes
  4. Apple