The nurse is teaching a client with chronic kidney disease (CKD) about the sodium restriction needed in the diet to prevent edema and hypertension. Which statement by the client indicates more teaching is needed?
a. I am thrilled that I can continue to eat fast food.
b. I will cut out bacon with my eggs every morning.
c. My cooking style will change by not adding salt.
d. I will probably lose weight by cutting out potato chips.
Question 2The nurse is taking the vital signs of a client after hemodialysis. Blood pressure is 110/58 mm Hg, pulse 66 beats/min, and temperature is 99.8 F (37.6 C). What is the most appropriate action by the nurse?
a. Administer fluid to increase blood pressure.
b. Check the white blood cell count.
c. Monitor the client's temperature.
d. Connect the client to an electrocardiographic (ECG) monitor.
Question 3A male client with chronic kidney disease (CKD) is refusing to take his medication and has missed two hemodialysis appointments. What is the best initial action for the nurse?
a. Discuss what the treatment regimen means to him.
b. Refer the client to a mental health nurse practitioner.
c. Reschedule the appointments to another date and time.
d. Discuss the option of peritoneal dialysis.
Question 4A 70-kg adult with chronic renal failure is on a 40-g protein diet. The client has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern?
a. Albumin level of 2.5 g/dL
b. Phosphorus level of 5 mg/dL
c. Sodium level of 135 mmol/L
d. Potassium level of 5.5 mmol/L
Question 5A client is diagnosed with chronic kidney disease (CKD). What is an ideal goal of treatment set by the nurse in the care plan to reduce the risk of pulmonary edema?
a. Maintaining oxygen saturation of 89
b. Minimal crackles and wheezes in lung sounds
c. Maintaining a balanced intake and output
d. Limited shortness of breath upon exertion
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