Which menu choices for a child who is diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?
1. Carrots and green, leafy vegetables
2. Spaghetti and meat sauce with breadsticks
3. Hamburger on a bun and cherry gelatin
4. Chips, cold cuts, and canned foods
Question 2
The nurse is observing a graduate nurse's assessment of a postpartum client. For which action by the graduate nurse should the nurse intervene?
1. Asking the client to void before applying clean gloves
2. Instructing visitors to leave the room prior to beginning the assessment
3. Requesting the client lie flat in bed with the head on a pillow prior to the fundal assessment
4. Discussing the effectiveness of comfort measures while performing the perineal assessment