A diabetic client's most recent blood work indicated a decreased glomerular filtration rate and urine testing revealed + microalbuminuria. Which priority self-care measures should the client's care team prescribe for this client?
A) Use of over-the-counter herbal products for natural diuretic properties
B) Increased fluid intake to at least 2000 mL/day
C) Decreased oral sugar intake to less than 5 tsp/day
D) Diet, exercise, and prescriptions to lower blood pressure below 140/80 mm Hg
Ans: D
Feedback:
Both systolic hypertension and diastolic hypertension accelerate the progression of diabetic nephropathy. Even moderate lowering of blood pressure can decrease the risk of chronic kidney disease. Diuretics may exacerbate diabetes, and neither increased fluid intake nor decreased sugar intake will necessarily mitigate the potential for further kidney damage.
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