The daily recommendation for protein is 0.8 gm/kg/day for a client with chronic kidney disease (CKD). In a client with nephrotic syndrome, the daily protein recommendation is also 0.8 gm/kg/day plus:
1. 1–3 grams of sodium.
2. 2–3 grams of potassium from dietary sources.
3. An additional 20 kcals/kg of calories from other sources.
4. Additional protein equal to the amount of protein lost in the client's 24-hour urine collection.
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Rationale: The daily recommendation for protein is 0.8 gm/kg/day for clients with CKD. Clients with nephrotic syndrome have the same recommendation with the additional amount of protein equal to the amount lost in the client's 24-hour urine collection. Clients with nephrotic syndrome should have sodium intake adjusted based on the degree of resulting edema. There are no potassium recommendations for clients with nephrotic syndrome.
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