Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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An adult client is diagnosed with chronic renal failure. Which of the following nursing interventions is most appropriate?
  1. Instruct the client to drink at least 1500 ml per day
  2. Weigh daily before breakfast
  3. Advise client to increase his intake of foods rich in calcium and phosphorus and decrease his intake of potassium
  4. Encourage the client to eat 3 large meals a day, avoiding between-meal snacks.
Explanation
Answer: B - Weighing daily before breakfast is the most accurate method of monitoring fluid retention. A gain of two pounds over a 24-hour period indicates fluid retention. Fluid intake should be restricted. Consumption of phosphorus and potassium should be controlled. Smaller meals and between-meal snacks are recommended.
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