What would the best nutritional goal for the patient with acute kidney injury?
1. Weight will increase by 3 pounds in a month
2. Patient eats over 50% of all meals
3. Albumin level will rise from 2.6 g/dL
4. Total protein level will increase to 10 g/dL
3
Rationale 1: Maintenance of body weight (with no evidence of excessive fluid intake or output) is important. The weight gain could be excess fluid, which, therefore, is not desirable.
Rationale 2: Eating over 50% of meals does not indicate the specific foods ingested. In order to accomplish nutritional goals, 100% of the diet should be consumed.
Rationale 3: The nurse assesses the patient for indications that he is being adequately nourished. These include albumin level of 3.5 to 4.0 g/dL; increase of this level shows improvement.
Rationale 4: The protein level is too high. The normal range is 6 to 8 g/dL.
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