The nurse is contributing to the plan of care for a patient who has chronic kidney disease. The nurse has recognized a growing body of evidence related to restricting protein intake
Which of the following is evidence that should be used to develop the plan of care? (Select all that apply.)
a. All patients with renal compromise should limit protein intake to less than 0.5 g/kg/day.
b. Protein requirements should be based on ideal body weight.
c. Protein energy malnutrition is a predictor of mortality and morbidity for patients on dialysis.
d. Increased protein is recommended for patients on hemodialysis.
e. Protein calorie malnutrition should be avoided for patients on hemodialysis.
f. Optimum nutritional status should be maintained for all patients with kidney disease.
ANS: C, D, E, 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. A. A protein-controlled diet is recommended of 0.80 to 1 g/kg/day for patients with kidney disease. B. Protein requirements are based on actual weight of the patient and not ideal body weight.
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