A male client who has been treated for chronic renal failure (CRF) is ready for discharge. Nurse Bea should reinforce which dietary instruction?
a. “Be sure to eat meat at every meal.”
b. “Monitor your fruit intake, and eat plenty of bananas.”
c. “Increase your carbohydrate intake.”
d. “Drink plenty of fluids, and use a salt substitute.”
Answer C.
In a client with CRF, unrestricted intake of sodium, protein, potassium, and fluid may lead to a dangerous accumulation of electrolytes and protein metabolic products, such as amino acids and ammonia. Therefore, the client must limit intake of sodium; meat, which is high in protein; bananas, which are high in potassium; and fluid, because the failing kidneys can’t secrete adequate urine. Salt substitutes are high in potassium and should be avoided. Extra carbohydrates are needed to prevent protein catabolism.
a. “Be sure to eat meat at every meal.”
b. “Monitor your fruit intake, and eat plenty of bananas.”
c. “Increase your carbohydrate intake.”
d. “Drink plenty of fluids, and use a salt substitute.”
Answer C.
In a client with CRF, unrestricted intake of sodium, protein, potassium, and fluid may lead to a dangerous accumulation of electrolytes and protein metabolic products, such as amino acids and ammonia. Therefore, the client must limit intake of sodium; meat, which is high in protein; bananas, which are high in potassium; and fluid, because the failing kidneys can’t secrete adequate urine. Salt substitutes are high in potassium and should be avoided. Extra carbohydrates are needed to prevent protein catabolism.
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