Before development of end-stage renal disease, nutrition therapy for patients with chronic renal failure focuses on
a. limiting intakes of sodium and fluid.
b. limiting foods that produce toxic meta-bolic by-products.
c. providing sufficient protein to prevent secondary complications.
d. providing adequate energy, protein, and nutrients to promote recovery.
B
Before development of end-stage renal disease, nutrition therapy for patients with chronic renal failure focuses on limiting foods that produce toxic metabolic by-products; this reduces the bur-den on the kidneys. Sodium and fluid intakes do not need to be limited at this stage. Protein in-take should be limited to the amount needed by the body because breakdown of excess protein produces toxic metabolic by-products. Chronic kidney disease is irreversible so provision of adequate nutrients will not promote recovery, although it is important to maintain good nutri-tional status.
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