Mr. P has been on renal replacement therapy for five years. Over that time his nutritional status has declined, and he has lost almost 40 pounds. He also has had some muscle wasting. The term used to describe this problem in dialysis clients is:
1. Protein-energy wasting.
2. Fat catabolism.
3. Metabolic acidosis.
4. Dry weight loss.
1
Rationale: Protein-energy wasting is the term used to describe malnutrition in dialysis patients. Fat catabolism is the use of fat for energy in states of starvation. Metabolic acidosis results from an increase in pH which causes protein catabolism and decreased synthesis of albumin. Dry weight refers to the client's post-dialysis weight which reflects a true weight since excess fluid accumulation has been removed.
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