When checking the patient's back, the nurse pushes her thumb into ...

[ereecah]

When checking the patient's back, the nurse pushes her thumb into the patient's sacrum. An indentation remains. The nurse charts that the patient has
 
  a. sacral compromise.
  b. delayed skin turgor.
  c. pitting edema.
  d. dehydration.

Question 2

Which of the following nutritional interventions is a priority for the patient with renal disease who is receiving dialysis?
 
  a. Increase fluids to replace losses.
  b. Encourage potassium-rich foods to replace losses.
  c. Ensure an adequate amount of protein to prevent catabolism.
  d. Limit all nutrients to account for altered renal excretion.

[Laurenleakan]

Answer to Question 1

C
Pitting edema occurs when an impression is left in the tissue when the thumb is removed. The dependent tissues within the legs and sacrum are particularly susceptible. Edema may be dependent, unilateral, or bilateral and pitting or nonpitting.

Answer to Question 2

C
Proteins and amino acids are removed during peritoneal dialysis, creating a greater nutritional requirement for protein. The renal patient must receive an adequate amount of protein to prevent catabolism of body tissues to meet energy needs. Approximately 1 .5 to 2.0 g protein/kg/day is required. Certain nutrients such as potassium and phosphorus are restricted because they are excreted by the kidney. The patient has no specific requirement for the fat-soluble vitamins A, E, and K because they are not removed in appreciable amounts by dialysis, and restriction generally prevents development of toxicity.