A client is known to have kidney disease. What explanation will the nurse give the client about the importance of limiting protein intake?
1. It will contribute to weight gain
2. Oncotic pressure changes will cause edema in the lower legs and feet
3. Excess nitrogen causes stress on the kidneys
4. Carbohydrates are the preferred nutrient source for clients with kidney disease
3
Rationale: Protein has nitrogen molecules that are released to the kidneys during digestion. Nitrogen puts added stress on the kidneys to excrete it. Protein alone does not contribute to weight gain, which is a function of caloric intake exceeding caloric expenditure. Edema may result from inadequate intake. Clients with kidney disease need more carbohydrate and fat.
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