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

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Adults with chronic kidney disease frequently develop wasting and PEM. ​

(True/False)
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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. -​What are kidney stones and how do they develop?

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Calcium oxalate stones usually result from:

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A patient on peritoneal dialysis may need to consume less dietary _____ than other kidney disease patients. ​

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One potential complication of hemodialysis is:

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Match each nutrition term with the appropriate definition.
Premises:
nephrotic syndrome
Responses:
a metabolic disorder characterized by elevated uric acid in the blood and urine and the deposition of uric acid in and around the joints, causing acute joint inflammation
a hormone made by the kidneys that stimulates red blood cell production
crystalline masses that form in the urinary tract; also called renal calculi and nephrolithiasis
Correct Answer:
Verified
Premises:
Responses:
nephrotic syndrome
a metabolic disorder characterized by elevated uric acid in the blood and urine and the deposition of uric acid in and around the joints, causing acute joint inflammation
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Which process is not a function of the kidneys? ​

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Which food is high in phosphorus?

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Secondary complications of chronic kidney disease includes:

(Multiple Choice)
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Following acute kidney injury, protein is usually restricted to about _____ grams of protein per kilogram of body weight per day for those patients who are not on dialysis.

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
gout
Responses:
a hormone made by the kidneys that stimulates red blood cell production
a bone disorder that develops in patients with chronic kidney disease as a consequence of increased secretion of parathyroid hormone, reduced serum calcium, acidosis, and impaired vitamin D activation by the kidneys
an inherited disorder characterized by elevated urinary excretion of several amino acids, including cystine
Correct Answer:
Verified
Premises:
Responses:
gout
a hormone made by the kidneys that stimulates red blood cell production
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All of these side effects are characteristic of immunosuppressive drug therapy EXCEPT:

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

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Describe the two major consequences of kidney stones.

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Predialysis chronic kidney disease patients have higher protein needs than those on hemodialysis. ​

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In patients with chronic kidney disease, acidosis can worsen:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
hypercalciuria
Responses:
elevated urinary calcium levels
abrupt decline in kidney function over a period of hours or days
elevated urinary oxalate levels
Correct Answer:
Verified
Premises:
Responses:
hypercalciuria
elevated urinary calcium levels
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Individuals at risk of PEM and wasting should consume foods with high energy density .

(True/False)
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One cause of nephrotic syndrome is:

(Multiple Choice)
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All of these factors are consequences of acute kidney injury EXCEPT:

(Multiple Choice)
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