A 70-kg adult with chronic renal failure is on a 40-g protein diet. The client has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern?
a. Albumin level of 2.5 g/dL
b. Phosphorus level of 5 mg/dL
c. Sodium level of 135 mmol/L
d. Potassium level of 5.5 mmol/L
ANS: A
Protein restriction is necessary with chronic renal failure due to the buildup of waste products from protein breakdown. The nurse would be concerned with the low albumin level since this indicates that the protein in the diet is not enough for the client's metabolic needs. The electrolyte values are not related to the protein-restricted diet.
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