Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.
The nurse should place the client on which of the following diets?
A. Low-sodium, fluid-restricted.
The nurse should place the client on a low-sodium, fluid-restricted diet. Acute glomerulonephritis is a kidney disease that can cause fluid retention and edema. A low-sodium diet can help reduce fluid retention and swelling. Fluid restriction can also help manage fluid balance and prevent further complications.
B. Regular diet, no added salt.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
C. Low-protein, low-potassium diet.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s fluid retention and edema.
D. Low-carbohydrate, low-protein diet.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom SP23 N23 N240 Proctored Exam 3 Ch 11 24 32 43 44. Take the full exam now
Full Explanation
The nurse should place the client on a low-sodium, fluid-restricted diet.
Acute glomerulonephritis is a kidney disease that can cause fluid retention and edema.
A low-sodium diet can help reduce fluid retention and swelling.
Fluid restriction can also help manage fluid balance and prevent further complications.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s fluid retention and edema.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.
Similar Questions
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
A. Limit visitors to immediate family members.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
B. Maintain the infant in the supine position.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
C. Provide a latex-free environment.
Infants with spina bifida are at an increased risk of developing a latex allergy due to repeated exposure to latex products during medical procedures. Providing a latex-free environment can help prevent the development of an allergy.
D. Initiate contact precautions.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.
Full Explanation
Infants with spina bifida are at an increased risk of developing a latex allergy
due to repeated exposure to latex products during medical procedures.
Providing a latex-free environment can help prevent the development of an allergy.
Choice A is not correct because limiting visitors to immediate family members is not necessary for the care of an infant undergoing surgical closure of the myelomeningocele sac.
Choice B is not correct because maintaining the infant in the supine position is not necessary for this procedure.
Choice D is not correct because initiating contact precautions is not necessary for this procedure.
A nurse is caring for a preschool-age child who is dying.
Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply).
A. The child is interested in what happens to the body after death.
Choice A is not correct because preschool-age children may not necessarily be interested in what happens to the body after death.
B. The child believes his thoughts can cause death.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
C. The child recognizes that death is permanent.
Choice C is not correct because preschool-age children usually do not recognize that death is permanent.
D. The child views death as similar to sleep.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
E. The child thinks death is a punishment.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
Full Explanation
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death.
They may also view death as similar to sleep 1 and may think that death is a punishment.
Choice A is not correct because preschool-age children may not necessarily be interested in what happens to the body after death.
Choice C is not correct because preschool-age children usually do not recognize that death is permanent.
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.
Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?
A. Feelings of isolation.
Isotretinoin has been associated with depression and other psychiatric side effects. The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
B. Frequent nosebleeds.
Choice B is not an answer because while frequent nosebleeds can be a side effect of isotretinoin, it is not the priority to report to the provider.
C. Back pain.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
D. Itching of skin.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.
Full Explanation
Isotretinoin has been associated with depression and other psychiatric side effects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
effect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.