« previous next »

Author Question: A male client with chronic kidney disease (CKD) is refusing to take his medication and has missed ... (Read 53 times)

segrsyd

  • Hero Member
  • *****
  • Posts: 530
on: Jun 25, 2018
A male client with chronic kidney disease (CKD) is refusing to take his medication and has missed two hemodialysis appointments. What is the best initial action for the nurse?
 
  a. Discuss what the treatment regimen means to him.
  b. Refer the client to a mental health nurse practitioner.
  c. Reschedule the appointments to another date and time.
  d. Discuss the option of peritoneal dialysis.

Question 2

A 70-kg adult with chronic renal failure is on a 40-g protein diet. The client has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern?
 
  a. Albumin level of 2.5 g/dL
  b. Phosphorus level of 5 mg/dL
  c. Sodium level of 135 mmol/L
  d. Potassium level of 5.5 mmol/L


kthug

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
The initial action for the nurse is to assess anxiety, coping styles, and the client's acceptance of the required treatment for CKD. The client may be in denial of the diagnosis. While rescheduling hemodialysis appointments may help, and referral to a mental health practitioner and the possibility of peritoneal dialysis are all viable options, assessment of the client's acceptance of the treatment should come first.

Answer to Question 2

ANS: A
Protein restriction is necessary with chronic renal failure due to the buildup of waste products from protein breakdown. The nurse would be concerned with the low albumin level since this indicates that the protein in the diet is not enough for the client's metabolic needs. The electrolyte values are not related to the protein-restricted diet.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

Male polydactyl grey house cat Male polydactyl grey house cat
Alzheimer's Disease Risk Alzheimer's Disease Risk
Disease-Modifying Antirheumatic Drugs (DMARDs) and Biologic Therapies Disease-Modifying Antirheumatic Drugs (DMARDs) and Biologic Therapies
Using small, circular strokes, exfoliate the client’s neck and back. Using small, circular strokes, exfoliate the client’s neck and back.
Video: Red Blood Cells - Erythropoietin (EPO)

For a complete list of videos, visit our video library