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    Ati Nurs 223 W26 Med Surg Proctored Exam 2

    The nurse plans care for the client with chronic kidney disease. Which statement should the nurse document as an appropriate outcome in the plan of care?

    Explanation & Rationale

    Rationale: A. While preventing bleeding may be relevant in clients with CKD who have coagulopathy, it is not a primary, measurable outcome for most CKD care plans. This statement is vague and not easily quantifiable. B. Large meals may be contraindicated in CKD due to dietary restrictions (e.g., low potassium, phosphorus, or protein restrictions). The outcome is not realistic or specific to CKD management. C. Monitoring weight gain is a key measurable outcome for clients with CKD, as it reflects fluid balance and helps prevent fluid overload, edema, and hypertension. This statement is specific, realistic, and clinically relevant, making it an appropriate outcome for the plan of care. D. Reduced serum albumin is undesirable in CKD, as it indicates malnutrition or protein loss. The plan of care should aim to maintain or improve albumin levels, not decrease them.

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