Level: Advanced
Difficulty: Hard
Subtopic: Diabetes nutrition teaching
NCLEX: A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to diabetes nutritio…
Nutrition Basic Care and Comfort
Case Study
A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to diabetes nutrition teaching. Assessment data include the client has potassium 5.9 mEq/L while asking about salt substitutes. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
D. "The nurse does not need to know about changes unless the provider asks."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
D. "The nurse does not need to know about changes unless the provider asks."
Rationale
Correct answer: C. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.