Electrolytes
Electrolytes ( 4 Questions)
A nurse is teaching a client who has chronic kidney disease about the importance of limiting phosphate intake. Which of the following statements by the client indicates an understanding of the teaching?
Dairy products like milk and cheese are high in phosphorus, which can cause bone loss and cardiovascular problems in clients who have chronic kidney disease. Therefore, avoiding or limiting these foods can help reduce phosphate intake and prevent complications.
Salt substitutes often contain potassium, which can accumulate in the blood and cause hyperkalemia in clients who have chronic kidney disease. Hyperkalemia can lead to cardiac arrhythmias and muscle weakness. Therefore, using salt substitutes instead of regular salt is not a good idea.
Orange juice and grapefruit juice are both high in potassium, which can cause hyperkalemia in clients who have chronic kidney disease. Therefore, drinking either of these juices does not indicate an understanding of the importance of limiting phosphate intake.
Fruits and vegetables like bananas and spinach are also high in potassium, which can cause hyperkalemia in clients who have chronic kidney disease. Moreover, some fruits and vegetables are also high in oxalate, which can increase the risk of kidney stones. Therefore, eating more fruits and vegetables like bananas and spinach does not indicate an understanding of the importance of limiting phosphate intake.
Choice A reason:
Dairy products like milk and cheese are high in phosphorus, which can cause bone loss and cardiovascular problems in clients who have chronic kidney disease. Therefore, avoiding or limiting these foods can help reduce phosphate intake and prevent complications.
Choice B reason:
Salt substitutes often contain potassium, which can accumulate in the blood and cause hyperkalemia in clients who have chronic kidney disease. Hyperkalemia can lead to cardiac arrhythmias and muscle weakness. Therefore, using salt substitutes instead of regular salt is not a good idea.
Choice C reason:
Orange juice and grapefruit juice are both high in potassium, which can cause hyperkalemia in clients who have chronic kidney disease. Therefore, drinking either of these juices does not indicate an understanding of the importance of limiting phosphate intake.
Choice D reason:
Fruits and vegetables like bananas and spinach are also high in potassium, which can cause hyperkalemia in clients who have chronic kidney disease. Moreover, some fruits and vegetables are also high in oxalate, which can increase the risk of kidney stones. Therefore, eating more fruits and vegetables like bananas and spinach does not indicate an understanding of the importance of limiting phosphate intake.