Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has

Question

diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products.
Since this is Mr. Bradley's first visit to the center, you, as his primary care nurse, spend hours speaking to him while his dialysis progresses. You explain that within the next week he will be seen by _____, who will counsel him about his nutrition therapy.

a. a dietitian who specializes in chronic kidney disease
b. a physician who oversees all aspects of clients' medical care
c. another client who has been following the diet for years
d. a pharmacist who will address the nutrients administered via the dialysate
e. a phlebotomy nurse who draws blood for and interprets laboratory values

Answer 1

a