A client with a recent diagnosis of renal failure who will require hemodialysis is being educated in the dietary management of the disease. Which of the client's following statements shows an accurate understanding of this component of treatment?
A) "I've made a list of high-phosphate foods, so that I can try to avoid them."
B) "I'm making a point of trying to eat lots of bananas and other food rich in potassium."
C) "I'm going to try to maintain a high-fiber, low-carbohydrate diet."
D) "I don't think I've been drinking enough, so I want to include 8 to 10 glasses of water each day."
Ans: A
Feedback:
Persons with chronic kidney disease (CKD) are usually encouraged to limit their dietary phosphorus as a means of preventing secondary hyperparathyroidism, renal osteodystrophy, and metastatic calcification. Excessive potassium and fluids are likely contraindicated in kidney disease individuals require hemodialysis. The amount of dietary fiber intake is not a priority when looking at primary needs of a CKD patient's food intake.
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