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The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendation should the nurse encourage the client to follow?

A.

Limit oral fluid intake to 500 mL/day.

B.

Restrict protein intake by limiting meats and other high protein foods.

C.

Increase intake of potassium-rich foods, such as bananas or cantaloupe.

D.

Increase intake of high-fiber foods, such as bran cereal.

Answer and Explanation

The Correct Answer is B

A. Limiting oral fluid intake may be necessary in some cases of glomerulonephritis, especially if the client is experiencing edema or hypertension, but this is not a universal recommendation and should be assessed individually.  

 

B. Restricting protein intake is important for clients with glomerulonephritis to reduce the workload on the kidneys and prevent further damage. This is a critical dietary adjustment that nurses should emphasize.  

 

C. Increasing potassium-rich foods can be contraindicated in clients with glomerulonephritis, especially if renal function is compromised, as it can lead to hyperkalemia.  

 

D. While high-fiber foods can be beneficial for overall health, they do not directly address the specific dietary needs of a client with glomerulonephritis in terms of protein and electrolyte balance.


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View Related questions

Correct Answer is B

Explanation

A. While the use of corticosteroid cream is relevant to treatment, it does not indicate a new cause for symptom exacerbation.

B. The introduction of a new dog could be a potential allergen, triggering an exacerbation of the client's eczema symptoms.

C. Receiving an influenza immunization is unlikely to be related to eczema exacerbations and is not a common trigger.

D. An old friend with eczema does not present a direct cause for the current exacerbation and is less relevant to the client's current condition.

Correct Answer is B

Explanation

A. "Don't worry, I'm sure your son will visit."
This response is dismissive and assumes that the son will visit, which may not be the case. It may come across as insensitive.

B. "Your son hasn't been around much lately?"
This response reflects the patient's statement, encouraging them to elaborate. It shows empathy and gives the patient space to express their feelings.

C. "My son doesn't come to visit me either."
This response shifts focus away from the patient and may make them feel that their concern is trivialized.

D. "How terrible that he doesn't visit you."
This response is judgmental and might make the patient feel worse or lead them to think the nurse disapproves of their son.

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