A client with polycystic kidney disease (PKD) has received extensive teaching in the clinic. Which statement by the client indicates that an important goal related to nutrition is being met?
a. "I take a laxative every night before going to bed."
b. "I have a soft bowel movement every morning."
c. "Food tastes so much better since I can use salt again."
d. "The white bread I am eating does not cause gas."
B
Clients with PKD often have constipation, which can be managed with increased fiber, exercise, and drinking plenty of water. A soft bowel movement on a regular basis indicates that the client is preventing constipation. Laxatives should be used cautiously, and the need for their use indi-cates that the goal of preventing constipation via nutritional means is not being met. Clients with PKD should be on a restricted salt diet. White bread has a low fiber count and would not be in-cluded in a high-fiber diet.
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