DIALYSIS ACTUAL SCRIPT WITH 100
PERCENT CORRECT ANSWERS
◉ The nurse is calculating the protein requirement for a client
who is switching from peritoneal dialysis to hemodialysis. The
client is 5'5" tall and weighs 140 pounds. How many grams of
protein does this client need per day?
a. 42 to 63
b. 51 to 62
c. 64 to 76
d. 76 to 96
Answer: C. 64 to 76
A client on hemodialysis requires 1.0 to 1.2 grams of protein per
kilogram of body weight.
The client weighs 64 kg so the requirement is 64 to 76.
◉ The nurse is assessing an otherwise healthy client with renal
disease. The client is taking several supplements that are not
indicated for clients who have renal disease. Which of the
following will the nurse think should be discontinued? Select all
that apply.
a. iron
,b. vitamin A
c. vitamin C
d. vitamin D
e. vitamin E
f. vitamin K
Answer: B. Vitamin A
E. Vitamin E
F. Vitamin K
Renal clients often have an increased need for vitamins B, C, and
D, and supplements are often given. Vitamin A should not be given
because the blood level of vitamin A tends to be elevated in
uremia. If a client is receiving antibiotics, a vitamin K supplement
may be given. Otherwise, supplements of vitamins E and K are not
necessary.
◉ The diet order for a client receiving hemodialysis is written as
80-3-3. When the nurse explains the diet to the client, which of
the following will be included in the teaching? Select all that apply.
a. 80 grams of fat are allowed per day
b. 80 grams of protein are allowed per day
c. potassium is restricted to 3 grams a day
d. phosphorus is restricted to 3 grams a day
e. potassium is restricted to 80 mg per day
,f. sodium is restricted to 3 grams per day
Answer: B. 80 grams of protein are allowed per day
C. potassium is restricted to 3 grams a day
F. sodium is restricted to 3 grams per day
A typical renal diet could be written as "80-3-3," which means 80
grams of protein, 3 grams of sodium, and 3 grams of potassium
are allowed per day.
◉ The nurse is educating a client who recently had a kidney
transplant about the dietary changes that will be necessary.
Which of the following statements could the nurse make to the
client? Select all that apply.
a. additional calcium may be needed
b. carbohydrates may be restricted
c. extra protein may be needed
d. fats may be limited
e. protein may be restricted
f. sodium may be restricted
Answer: ALL--> A, B, C, D, E, F
After kidney transplant, there may be a need for extra protein or
for the restriction of protein. Carbohydrate and sodium may be
restricted. The appropriate amounts of these nutrients will
, depend largely on the medications given at the time. Additional
calcium and phosphorus may be necessary if there was
substantial bone loss before the transplant. There may be an
increased appetite after transplant, so fats and simple
carbohydrates may be limited to prevent excessive weight gain.
◉ The nurse is educating the client about diet after the client was
treated for calcium oxalate renal stones. The nurse tells the client
about foods that should be avoided to reduce the risk of
development of future renal stones. Which of the following foods
could the nurse tell the client to avoid? Select all that apply.
a. cheese
b. chocolate
c. milk
d. spinach
e. strawberries
f. tea
Answer: B. chocolate
D. spinach
E. strawberries
F. tea
About 80% of the renal stones formed contain calcium oxalate.
Recent studies provide no support for the theory that a diet low in
calcium can reduce the risk of calcium oxalate renal stones. In fact,
PERCENT CORRECT ANSWERS
◉ The nurse is calculating the protein requirement for a client
who is switching from peritoneal dialysis to hemodialysis. The
client is 5'5" tall and weighs 140 pounds. How many grams of
protein does this client need per day?
a. 42 to 63
b. 51 to 62
c. 64 to 76
d. 76 to 96
Answer: C. 64 to 76
A client on hemodialysis requires 1.0 to 1.2 grams of protein per
kilogram of body weight.
The client weighs 64 kg so the requirement is 64 to 76.
◉ The nurse is assessing an otherwise healthy client with renal
disease. The client is taking several supplements that are not
indicated for clients who have renal disease. Which of the
following will the nurse think should be discontinued? Select all
that apply.
a. iron
,b. vitamin A
c. vitamin C
d. vitamin D
e. vitamin E
f. vitamin K
Answer: B. Vitamin A
E. Vitamin E
F. Vitamin K
Renal clients often have an increased need for vitamins B, C, and
D, and supplements are often given. Vitamin A should not be given
because the blood level of vitamin A tends to be elevated in
uremia. If a client is receiving antibiotics, a vitamin K supplement
may be given. Otherwise, supplements of vitamins E and K are not
necessary.
◉ The diet order for a client receiving hemodialysis is written as
80-3-3. When the nurse explains the diet to the client, which of
the following will be included in the teaching? Select all that apply.
a. 80 grams of fat are allowed per day
b. 80 grams of protein are allowed per day
c. potassium is restricted to 3 grams a day
d. phosphorus is restricted to 3 grams a day
e. potassium is restricted to 80 mg per day
,f. sodium is restricted to 3 grams per day
Answer: B. 80 grams of protein are allowed per day
C. potassium is restricted to 3 grams a day
F. sodium is restricted to 3 grams per day
A typical renal diet could be written as "80-3-3," which means 80
grams of protein, 3 grams of sodium, and 3 grams of potassium
are allowed per day.
◉ The nurse is educating a client who recently had a kidney
transplant about the dietary changes that will be necessary.
Which of the following statements could the nurse make to the
client? Select all that apply.
a. additional calcium may be needed
b. carbohydrates may be restricted
c. extra protein may be needed
d. fats may be limited
e. protein may be restricted
f. sodium may be restricted
Answer: ALL--> A, B, C, D, E, F
After kidney transplant, there may be a need for extra protein or
for the restriction of protein. Carbohydrate and sodium may be
restricted. The appropriate amounts of these nutrients will
, depend largely on the medications given at the time. Additional
calcium and phosphorus may be necessary if there was
substantial bone loss before the transplant. There may be an
increased appetite after transplant, so fats and simple
carbohydrates may be limited to prevent excessive weight gain.
◉ The nurse is educating the client about diet after the client was
treated for calcium oxalate renal stones. The nurse tells the client
about foods that should be avoided to reduce the risk of
development of future renal stones. Which of the following foods
could the nurse tell the client to avoid? Select all that apply.
a. cheese
b. chocolate
c. milk
d. spinach
e. strawberries
f. tea
Answer: B. chocolate
D. spinach
E. strawberries
F. tea
About 80% of the renal stones formed contain calcium oxalate.
Recent studies provide no support for the theory that a diet low in
calcium can reduce the risk of calcium oxalate renal stones. In fact,
