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ISPN考试模拟试题(369)

Question:

A client is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 

1. Increase intake of milk and milk products. 

2. Restrict fluid intake to 1,000 mL/day. 

3. Decrease foods high in potassium. 

4. Decrease foods high in sodium.

 


Aldactone is a potassium-sparing diuretic often used to counteract potassium loss caused by other diuretics. If foods or fluids are ingested that are high in potassium, hyperkalemia may result and lead to cardiac arrhythmias. Increasing the intake of milk or milk products does not affect the potassium level. Restricting fluid may elevate all electrolytes due to extracellular fluid volume depletion. By increasing foods high in sodium, water would tend to be retained and so would dilute all electrolytes in the extracellular fluid compartment.

CN: Health promotion and maintenance; CL: Synthesize

Answer:3

 

翻译

问题:

一位病人正在接受螺内酯治疗双侧下肢水肿。护士应指导病人进行以下哪种营养调整以防止电解质失衡?

1.增加牛奶和奶制品的摄入量。

2.限制液体摄入量为1000毫升/天。

3.减少高钾食物。

4.减少高钠食物。

 

答案:3

螺内酯是一种保钾利尿剂,常用于抵消其他利尿剂引起的钾流失。如果摄入高钾食物或液体,高钾血症可能导致心律失常。增加牛奶或奶制品的摄入量不会影响钾含量。由于细胞外液量减少,限制液体可能会升高所有电解质。通过增加高钠食物,水会被保留,因此会稀释细胞外液室中的所有电解质。

CN:健康促进与维护;CL:综合

小编寄语A man can succeed in almost anything he has unlimited enthusiasm for.一个人几乎可以在任何他怀有无限热忱的事情上成功。

时间:2020/10/14 14:48:26
 
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