Nokea
The home health nurse has reviewed the most recent laboratory test results for a client with chronic kidney disease. Which of the following would be an appropriate afternoon snack to recommend for the client?
- A. Carrot slices and milk
- B. Chips and avocado dip
- C. Oatmeal with apple slices
- D. Vanilla pudding with strawberries
Correct Answer: C
Rationale: CKD patients need low-potassium, low-phosphorus snacks. Oatmeal with apples (C) is suitable. Milk (A) is high in phosphorus, and chips (B) are high in sodium. Pudding (D) may have additives.
You may also like to solve these questions
A client with moderate Alzheimer disease is started on memantine. What should the nurse monitor to evaluate the effectiveness of this medication?
- A. Improved ability to perform activities of daily living
- B. Indications that disease progression has stopped
- C. Rapid improvement in cognitive functioning
- D. Reversal of Alzheimer disease
Correct Answer: A
Rationale: Memantine may slow decline and improve daily functioning (A). It does not stop progression (B), provide rapid improvement (C), or reverse Alzheimer's (D).
The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?
- A. Client who had mechanical aortic valve replacement
- B. Client who had mitral valvuloplasty repair
- C. Client who had myocardial infarction with subsequent heart failure
- D. Client who has mitral valve prolapse with regurgitation
Correct Answer: A
Rationale: Mechanical valve replacements (A) require prophylactic antibiotics before dental procedures to prevent endocarditis. Mitral valvuloplasty (B), heart failure (C), and mitral valve prolapse with regurgitation (D) have lower risks.
Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?
- A. Weight loss
- B. Respiratory rate of 30/minute
- C. Temperature of 96.8°F
- D. Scanty menses
Correct Answer: C
Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.
The nurse has taught the parent of a pediatric client who will be receiving growth hormone replacement therapy. Which of the following statements by the parent would require follow-up?
- A. The medication needs to be given at bedtime to be most effective.
- B. My child will achieve a height equal to peers after receiving therapy.
- C. The medication will be discontinued when my child's bone growth ceases.
- D. Routine x-rays may be required during therapy to monitor bone lengthening.
Correct Answer: B
Rationale: Expecting equal height to peers (B) is unrealistic, as outcomes vary. Bedtime dosing (A), discontinuation at bone closure (C), and x-rays (D) are correct.
The nurse is caring for a man who has recently been diagnosed with angina. Which statement he makes indicates understanding of his condition?
- A. I should not exercise now that I have angina.'
- B. If I have chest pain, I will take nitroglycerin.'
- C. Sexual activity is likely to cause a heart attack.'
- D. If I have any chest pain, I should immediately call my doctor.'
Correct Answer: B
Rationale: Taking nitroglycerin for chest pain reflects proper angina management. Avoiding exercise, fearing heart attacks, or calling for all pain are misconceptions.