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Chapter 19: Diet in Renal Disease

Nutrition And Diet Therapy- 6th Edition by Carroll A. Lutz and Erin E. Mazur

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Chapter 19: Diet in Renal Disease

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

peritoneal dialysis (CAPD) require:

  1. The same amount of dietary protein
  2. Less dietary protein
  3. More dietary protein
  4. A different kind of protein

 

Ans: 3

  Feedback
1. A client on CAPD has an even higher protein need because he or she dialyzes continuously. During dialysis, protein passes out of the blood with the waste products and into the dialysate fluid. When the dialysate fluid is discarded, a significant amount of protein is lost. A high-protein diet is necessary to replenish the losses.
2. A client on CAPD has an even higher protein need because he or she dialyzes continuously. During dialysis, protein passes out of the blood with the waste products and into the dialysate fluid. When the dialysate fluid is discarded, a significant amount of protein is lost. A high-protein diet is necessary to replenish the losses.
3. A client on CAPD has an even higher protein need because he or she dialyzes continuously. During dialysis, protein passes out of the blood with the waste products and into the dialysate fluid. When the dialysate fluid is discarded, a significant amount of protein is lost. A high-protein diet is necessary to replenish the losses.
4. A client on CAPD has an even higher protein need because he or she dialyzes continuously. During dialysis, protein passes out of the blood with the waste products and into the dialysate fluid. When the dialysate fluid is discarded, a significant amount of protein is lost. A high-protein diet is necessary to replenish the losses.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Comprehension

 

 

 

  1. Most renal clients need to avoid salt substitutes because they often contain:
  2. Phosphorus
  3. Potassium
  4. Protein
  5. Calcium

 

Ans: 2

  Feedback
1. Salt substitutes are very high in potassium, not phosphorus, and should be avoided by renal clients.
2. Salt substitutes are very high in potassium and should be avoided by renal clients.
3. Salt substitutes are very high in potassium, not protein, and should be avoided by renal clients.
4. Salt substitutes are very high in potassium, not calcium, and should be avoided by renal clients.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Comprehension

 

 

 

  1. Which of the following are high in potassium?
  2. Grapes
  3. Cranberry juice
  4. Baked potatoes
  5. Canned pears

 

Ans: 3

  Feedback
1. Grapes are not high in potassium.
2. Cranberry juice is low in potassium
3. Baked potatoes are high in potassium.
4. Canned pears are not high in potassium.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Basic Care and Comfort | Cognitive Level: Comprehension

 

 

 

  1. Mr. S is being treated for renal calculi. The first priority for teaching self-care to this client is to:
  2. Increase fluid intake
  3. Limit calcium and phosphorus intake
  4. Restrict all protein from meat, fish, and poultry sources
  5. Restrict high-purine foods, such as anchovies and liver

 

Ans: 1

  Feedback
1. Any client with renal calculi should drink sufficient water to keep urine volume above 2 liters per day to prevent the formation of concentrated urine in which crystals are more likely to combine and precipitate.
2. Ensuring an adequate calcium intake is needed to prevent calcium oxalate stones.
3. Protein need not be restricted for a client with renal calculi.
4. Restricting purines would be appropriate for gout.

KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Physiological Adaptation | Cognitive Level: Application

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