The nurse is assisting a 12-year-old kidney transplant recipient ...

[james]

The nurse is assisting a 12-year-old kidney transplant recipient to select items from the hospital menu. Which meal indicates an appropriate understanding of dietary restrictions?
 
  A.
  Chicken alfredo, breadstick
  B.
  Cheese pizza, fruit cocktail
  C.
  Lasagna, salad, breadstick
  D.
  Pasta with tomato sauce, salad

Question 2

A nurse is caring for a child with acute kidney injury (AKI) at home. The child's laboratory work is as follows: serum albumen 2.8 g/dL and serum protein 4 g/dL. Which action by the nurse is the most appropriate?
 
  A.
  Assess the child for edema.
  B.
  Document findings in the chart.
  C.
  Facilitate a dietitian referral.
  D.
  Weigh and measure the child.

[Brummell1998]

Answer to Question 1

ANS: D
A kidney transplant recipient is placed on a protein-restricted diet. Pasta with plain tomato sauce is the lowest-protein menu item listed. The other meals are high in protein. Sodium may be limited too

Answer to Question 2

ANS: C
All interventions are appropriate for a child with AKI. However the child's laboratory results indicate malnutrition, and with the dietary restrictions the child must follow, ensuring adequate nutrition is difficult. A referral to a dietitian is most important.

[james]

Thanks for the timely response, appreciate it

[alvinum]

TYSM