The nurse is contributing to the plan of care for a patient with chronic kidney disease. The nurse has recognized a growing body of evidence related to restricting protein intake
Which evidence should the nurse use to develop the plan of care? (Select all that apply.)
a. Protein requirements should be based on ideal body weight.
b. Increased protein is recommended for patients on hemodialysis.
c. Protein calorie malnutrition should be avoided for patients on hemodialysis.
d. Optimum nutritional status should be maintained for all patients with kidney disease.
e. All patients with renal compromise should limit protein intake to less than 0.5 g/kg/day.
f. Protein energy malnutrition is a predictor of mortality and morbidity for patients on dialysis.
ANS: B, C, D, F
Protein energy malnutrition is a predictor for morbidity and mortality in patients on dialysis. For patients receiving hemodialysis, increased protein is recommended. It is advisable to avoid protein calorie malnutrition with patients on hemodialysis. Optimum nutritional status should be maintained for all patients with kidney disease. E. A protein-controlled diet is recommended or patients with kidney disease. A. Protein requirements are based on actual weight of the patient and not ideal body weight.
You might also like to view...
Lytes
What will be an ideal response?
A 32-year-old woman who has a fractured T-7 following an automobile accident develops urinary retention. The physician orders intermittent catheterizations every 6 hours, and the nurse obtains between 600 and 830 mL of urine each time
Select the most appropriate nursing action for this client. a. Notify the physician and obtain an order for a Foley catheter. b. Restrict the client's fluid intake to 500 mL per shift. c. Obtain an order to catheterize the client every 3 to 4 hours. d. Continue catheterizing the client per the physician's order.
All of the following are purposes of the performance appraisal except:
a. Determining job competence b. Improving communication between managers and physicians c. Identifying unsatisfactory employees d. Inventorying talent within the organization
The nurse plans to use a trochanter roll when repositioning a patient. Where should the nurse place the trochanter roll?
a. Under the small of the back b. Behind the knees when supine c. Alongside the ilium to mid-thigh d. In the palm of the hand with fingers flexed