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    Ati med surg proctored exam

    A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

    Explanation & Rationale

    A. "I should consume most of the fluid during the evening": Concentrating fluid intake in the evening increases the risk of nocturia, sleep disruption, and fluid overload at night. Clients with acute kidney disease should distribute fluid intake evenly throughout the day. B. "I will put beverages in large containers to give the appearance of drinking a lot.": Using large containers encourages excess fluid intake rather than control. Clients are better supported by using smaller cups or pre-measured amounts to help monitor and limit total daily fluid intake. C. "I will not add ice cream to the amount of fluid intake.": Ice cream, gelatin, sherbet, and other liquid-based foods must be counted toward the daily fluid allowance because they melt into liquid at room temperature. Excluding these from the total can result in unintentional fluid overload. D. "I will make a list of my favorite beverages.": Making a list allows the client to prioritize and plan their limited fluid intake by including beverages they enjoy most. This supports adherence to fluid restriction while improving satisfaction and compliance with the prescribed regimen.

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