A client with chronic renal failure asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?
Limiting protein intake to preserve kidney function.
Increasing sodium intake to balance electrolytes.
Consuming potassium-rich foods to prevent deficiency.
Avoiding fluid restrictions to maintain hydration.
The Correct Answer is A
A. Correct. In chronic renal failure, limiting protein intake is essential to reduce the workload on the kidneys and slow the progression of kidney damage.
B. Incorrect. Increasing sodium intake is not recommended in chronic renal failure, as it can lead to fluid retention and hypertension.
C. Incorrect. While potassium intake may need to be adjusted based on blood levels, there is no indication to consume potassium-rich foods to prevent deficiency.
D. Incorrect. Fluid restrictions are typically necessary in chronic renal failure to prevent fluid overload and related complications.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.
B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.
C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.
D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.
Correct Answer is D
Explanation
A. Incorrect. While chronic renal failure is often irreversible, the rate of decline in kidney function can vary depending on the underlying cause and the effectiveness of treatment and management.
B. Incorrect. While appropriate lifestyle changes and medications can improve the client's quality of life and slow the progression of the disease, chronic renal failure is a chronic condition that may require ongoing management.
C. Incorrect. Chronic renal failure is generally not curable, but proper management can help stabilize the condition and slow the progression of kidney damage.
D. Correct. The prognosis for chronic renal failure can vary widely depending on factors such as the cause of kidney disease, the stage of kidney damage, and the client's response to treatment. Early intervention, such as controlling blood pressure and blood sugar levels, can help slow the progression of kidney damage and improve long-term outcomes.
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