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A 65-year-old patient with chronic kidney disease (CKD) stage 4 and hypertension is being reviewed for medication adjustments. The patient’s current medications include an ACE inhibitor, which they have been taking for years to manage blood pressure. Recent labs reveal: ·     Serum creatinine: 3.5 mg/dL (elevated) ·     Potassium: 5.8 mEq/L (elevated) ·     GFR: 22 mL/min/1.73m² (reduced) The healthcare provider considers whether to continue the ACE inhibitor. What is the most appropriate action regarding the use of ACE inhibitors in this patient?

A nurse is educating a 30-year-old patient who reports difficulty falling asleep and staying asleep. The patient states, “I feel tired all the time, and my sleep schedule is all over the place because of my late-night work hours.” The nurse explains the importance of maintaining proper sleep hygiene and supporting the body’s circadian rhythm. Which recommendation by the nurse is most effective for improving the patient’s sleep quality?

The most helpful recommendation for a client who often experiences heartburn at night would be to

Grapefruit juice decreases the action of which classification of medications?

Which food should the client with calcium oxalate stones limit in their diet? 

When clients have a strong history of both heart disease and cancer, the nurse should encourage them to reduce their intake of  

The nurse is educating a client who received a liver transplant. Long-term nutritional management may be customized to prevent which of the following?  

For someone with coronary heart disease, what would be the most helpful piece of information on a food label? 

Clients prescribed warfarin (Coumadin) need to be taught to avoid eating large quantities of food containing Vitamin K, such as 

For clients who are taking prescription or over the counter medications,herbal supplements