Exam 23: Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Discuss techniques to use in increasing a patient's compliance with renal diets.

Case Study Questions Use the following case study to answer questions Dennis Wilson is a 57-year-old chemical engineer who has had type 1 diabetes since he was 12 years old.He spent 34 years working in oil refineries, and he is a smoker.He is 5'11" tall and weighs 160 pounds.Over the past several years, he has experienced a gradual decline in kidney function.His GFR has declined to 27 mL/min per 1.73 m2. -Protein intake for Mr.Wilson should:

nurse recognizes that patients with chronic kidney disease need generous amounts of these water-soluble vitamins:

patients with acute kidney injury, oliguria leads to:

Which of the following statements is true?

Case Study Questions Use the following case study to answer questions Dennis Wilson is a 57-year-old chemical engineer who has had type 1 diabetes since he was 12 years old.He spent 34 years working in oil refineries, and he is a smoker.He is 5'11" tall and weighs 160 pounds.Over the past several years, he has experienced a gradual decline in kidney function.His GFR has declined to 27 mL/min per 1.73 m2. -Wilson's energy needs should be estimated using:

nurse understands that patients on peritoneal dialysis may experience all of the following side effects except:

Case Study Questions Use the following case study to answer questions Dennis Wilson is a 57-year-old chemical engineer who has had type 1 diabetes since he was 12 years old.He spent 34 years working in oil refineries, and he is a smoker.He is 5'11" tall and weighs 160 pounds.Over the past several years, he has experienced a gradual decline in kidney function.His GFR has declined to 27 mL/min per 1.73 m2. -Mr.Wilson's laboratory reports indicate hyperkalemia.His intake of _____ should be restricted.

52-year-old male patient recently required surgery for the removal of a large calcium oxalate stone.To prevent further stone formation, the nurse instructs him to consume plenty of fluids, but advises against drinking:

Lasix is a drug used to:

Foods considered part of the fluid allowance in a renal diet include all of the following except:

a patient is on peritoneal dialysis, his diet should contain less _____ than other renal diets.

Compared to a hemodialysis patient, a peritoneal dialysis patient is allowed a more liberal intake of:

Prior to the need for dialysis, most renal patients are unable to handle normal intakes of potassium.

potassium content of vegetables can be reduced by a process called:

is a 56-year-old male who started hemodialysis a week ago.He weighs 174 pounds.The nurse recognizes that an appropriate diet prescription for him should read:

Case Study Refinery Worker with History of Kidney Stones: Steve Forbes is a 52-year-old refinery worker who wrecked his motorcycle on the way to work one morning.He was taken to the emergency room with multiple broken bones, and a CT scan was performed to rule out internal injuries.Incidentally, the results of the CT scan showed that Mr.Forbes had two large stones in his right kidney.After Mr.Forbes's broken bones healed, he underwent surgery to have the kidney stones removed.An analysis of the stones determined that they were calcium oxalate stones.Two years later, Mr.Forbes experienced severe back pain, nausea, and the inability to urinate.He returned to the emergency room for treatment. -Describe the medical nutrition therapy for calcium oxalate stones.

patient is admitted to the emergency room and is found to have proteinuria, a low serum albumin, edema, and elevated blood lipids.The nurse recognizes these symptoms as those associated with:

Following kidney transplantation, dietary restrictions are generally liberalized; however, if fluid retention and hypertension are present, the nurse understands that a restriction in _____ may be necessary.

potential complication of hemodialysis is: