Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has
diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products.
Which of the following principles regarding fluid is correctly conveyed to Mr. Bradley?
a. "Gelatin, soups, fruit ices, and frozen fruit juice bars contribute to your fluid intake."
b. "Water losses from the skin and lungs are deducted from your fluid allowance."
c. "Solid foods do not contribute to your fluid intake."
d. "Your average fluid gain between dialysis treatments should ideally be 0 pounds."
e. all of the above
a
You might also like to view...
JK is a 19-year-old male college student with T1DM. He is away from home and is reportedly drinking and eating poorly. His school schedule is erratic so he eats at all different times of the day. He currently takes extended long-acting analogue insulin once per day. Around 8 pm, his blood sugars are falling very low. HT: 5'10" WT: 175 pounds Hemoglobin A1C 9% What is likely the cause of JK's low
blood sugar at 8 pm? a. his insulin dosage is too high b. he is eating too much c. he is exercising too much d. he is not exercising enough e. timing and peak of his insulin are not matching his intake
Which statement about mad cow disease is false?
a. Mad cow disease was first diagnosed in cattle in the United Kingdom in 1986. b. Mad cow disease is curable if diagnosed early. c. Mad cow disease is also known as bovine spongiform encephalopathy. d. Mad cow disease may occur in people who consume meat from infected animals. e. To prevent mad cow disease, it is illegal in the U.K. to include mammalian protein tissues in feed for all food-producing animals.
The three active forms of vitamin A in our bodies are collectively referred to as the
A) retinoids. B) carotenoids. C) antioxidants. D) free radicals.
Which of the following eating disorders is associated with obesity?
A) female athlete triad B) night-eating syndrome C) anorexia nervosa D) bigorexia