The client overhears the dietitian and the physician talking about the client's nutrient requirements. The client asks the nurse why the "experts" are having so much trouble deciding what the best diet should be. What is the best response?
A) "You have a disease process that creates unique nutritional problems in your body. We haven't gotten the diet exactly right yet."
B) "Even ‘experts' can disagree from time-to-time."
C) "Clients in acute renal injury, like you, cannot use protein or calories efficiently. It is difficult to adjust your intake of these nutrients to meet your nutritional goals."
D) "You are breaking down parts of your body to use as energy because right now your body isn't able to optimally use the calories and protein you are eating."
C
Feedback:
It has not been proven that nutrition therapy for AKI promotes recovery of kidney function, but it is likely that nutritional support is beneficial; however, the metabolic abnormalities that occur in clients with AKI make it difficult to achieve nutritional goals.
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