The nurse is planning a seminar to instruct community members on ...

[audie]

The nurse is planning a seminar to instruct community members on ways to reduce the development of chronic kidney disease. Which topics should the nurse include in the seminar?
 
  Select all that apply.
  A) Avoid eating red meat.
  B) Control blood glucose levels in diabetes mellitus.
  C) Adhere to medication regimen to control hypertension.
  D) Participate in regular exercise.
  E) Avoid smoking.

Question 2

The nurse is preparing to administer a hemodialysis treatment for a client with chronic kidney disease. Which laboratory values does the nurse anticipate prior to the client's treatment?
 
  Select all that apply.
  A) Increased blood urea nitrogen (BUN)
  B) Decreased potassium
  C) Decreased phosphorus
  D) Increased urine osmolality
  E) Increased creatinine

[annierak]

Answer to Question 1

Answer: B, C, D, E

Prevention of end-stage renal disease should focus on aggressive management of chronic disease states, especially diabetes and hypertension. In addition, clients should consume diets low in sodium, exercise regularly, keep healthcare provider appointments, avoid smoking, and limit alcohol intake. Eating red meat does not need to be avoided to prevent the development of end-stage renal disease.

Answer to Question 2

Answer: A, E

The damaged kidney is unable to excrete waste products, including creatinine, so it will be increased. The client will also have an increased blood urea nitrogen (BUN) level due to the damaged kidneys. The damaged kidney is unable to excrete solutes; therefore, the serum osmolality will be increased and the urine osmolality will be decreased. Both phosphorus and potassium increase during renal failure due to the inability of the kidney to excrete them.