A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching?
Explanation & Rationale
A) Take magnesium hydroxide for indigestion: This is not advisable for a client with chronic kidney disease (CKD) because magnesium can accumulate and lead to toxicity in individuals with impaired kidney function. Therefore, the nurse should recommend avoiding magnesium-based antacids. B) Eat 1 g/kg of protein per day: This statement is correct. Clients on hemodialysis often require a higher protein intake to compensate for protein losses during dialysis. However, protein intake should be carefully monitored and tailored to individual needs and dialysis status. C) Consume foods high in potassium: This instruction is inappropriate for a client with CKD. Elevated potassium levels (hyperkalemia) can be dangerous for these clients, so they should limit high-potassium foods to prevent complications. D) Drink at least 3 L of fluid daily: This recommendation is not suitable for clients on hemodialysis, as fluid intake is typically restricted to prevent fluid overload. Fluid needs should be assessed based on the individual's condition and urine output, but generally, they should not drink excessive amounts.