Erin E. Mazur | All Chapters with Answers and Rationals
Which of the following is the most common cause of renal failure?
-Trauma
-Medications
-Diabetic nephropathy
-Myocardial infarction - ANSWER: -Diabetic nephropathy
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?
-Increase potassium levels
-Increase hydration
-Reverse progression of renal osteodystrophy
-Prevent net protein catabolism - ANSWER: -Prevent net protein catabolism
A nurse is caring for a client in stage 1 kidney failure. Which nutrition modification should the nurse
anticipate?
-CHO control
-Sodium reduction
-Potassium supplementation
-Phosphorus control - ANSWER: -CHO control
A nurse knows that monitoring sodium in the client with chronic kidney disease will primarily help:
-Control blood glucose levels.
-Control blood pressure.
-Reduce cardiovascular disease risk.
-Bone health. - ANSWER: -Control blood pressure.
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?
-Eggs
-Beans
-Almonds
-Quinoa - ANSWER: -Eggs
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?
-Phosphorus
-Potassium
-Protein
-Sodium - ANSWER: -Protein
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?
-400 mL
-500 mL
-600 mL
-700 mL - ANSWER: -600 mL
A nurse is educating the client with chronic kidney disease on appropriate kilocalorie needs.
Inadequate nonprotein kilocalories will exacerbate which of the following?
-Uremia
-Stomatitis
-Hypokalemia
, -Hypotension - ANSWER: -Uremia
What is the rate of malnutrition among clients on hemodialysis?
-10%
-14%
-34%
-50% - ANSWER: -34%
A nurse is caring for a client with chronic kidney disease. The client has elevated serum phosphorus
levels, which may lead to:
-Low serum calcium levels.
-Hypokalemia.
-Aggravated uremia.
-Brittle bones. - ANSWER: -Brittle bones.
Which of the following clients has the highest protein intake need?
-Predialysis client
-Hemodialysis client
-Continuous ambulatory peritoneal dialysis client
-Automated peritoneal dialysis - ANSWER: -Continuous ambulatory peritoneal dialysis client
A client who is restricting potassium in his or her diet should avoid which of the following foods?
-Avocado
-Canned bean sprouts
-Honey
-Cornstarch - ANSWER: -Avocado
Which of the following are the leading causes of kidney failure? Select all that apply.
-Diabetes
-Hypertension
-Trauma
-Medications
-Birth defects - ANSWER: -Diabetes
-Hypertension
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.
-600 mL with meals
-700 mL with meals
-1,000 mL with meals
-500 mL with medications
-600 mL with medications - ANSWER: -500 mL with medications
-1,000 mL with meals
A nurse is caring for a client in stage 2 kidney failure. Which nutrient modifications should the nurse
anticipate? Select all that apply.
-CHO
-Sodium
-Potassium
-Phosphorus
-RDA for protein - ANSWER: -CHO
-Sodium
-Potassium
A nurse keeps in close communication with chronic kidney clients and the health-care team because:
Select all that apply.
-Client conditions are constantly changing.