A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?

"Reducing protein intake can help prevent calcium loss and bone fractures."

"Limiting protein intake can reduce the workload on your kidneys and slow disease progression."

"Decreasing protein intake will help improve your appetite and overall nutritional status."

"By reducing protein intake, your body will have fewer waste products to excrete, reducing strain on your kidneys."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Reducing protein intake can lead to calcium loss and bone fractures in clients with chronic renal failure, as it may affect

bone health.

B. Correct. Limiting protein intake is a common dietary recommendation for clients with chronic renal failure to reduce the workload on the kidneys and slow the progression of kidney damage. Protein metabolism produces waste products that the kidneys must filter and excrete, and reducing protein intake can help alleviate this burden on the already compromised kidneys.

C. Incorrect. Decreasing protein intake may not necessarily improve appetite or overall nutritional status, as protein is essential for maintaining body functions and tissue repair.

D. Incorrect. While reducing protein intake can result in fewer waste products being generated, the primary reason for limiting protein intake in chronic renal failure is to reduce the strain on the kidneys, not solely to decrease waste production.

QUESTIONS

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Correct Answer is B

Explanation

A. Incorrect. While a GFR value of 60 mL/min/1.73m² is within the normal range for some populations, it is considered below the normal range for adults and indicates some level of kidney dysfunction.

B. Correct. A GFR value of 60 mL/min/1.73m² indicates mild kidney impairment. While it may not be severely compromised, it still represents some level of kidney dysfunction.

C. Incorrect. A GFR value of 60 mL/min/1.73m² is not considered moderate kidney dysfunction. It is within the mild impairment range.

D. Incorrect. A GFR value of 60 mL/min/1.73m² is not indicative of severely damaged kidneys. Severe kidney dysfunction would have a much lower GFR value.

A. "You should increase your protein intake to maintain muscle mass." B. "Limit your fluid intake to prevent dehydration and overload on your kidneys." C. "Include high-potassium foods in your diet to support kidney function." D. "Consume foods high in phosphorus to promote bone health."

Correct Answer is B

Explanation

A. Incorrect. In chronic renal failure, the kidneys may have difficulty processing excess protein, so protein intake should be limited to reduce the workload on the kidneys.

B. Correct. Limiting fluid intake is crucial in managing chronic renal failure. The kidneys' reduced ability to filter waste products can lead to fluid retention and electrolyte imbalances, so restricting fluid intake helps prevent overload and complications.

C. Incorrect. In chronic renal failure, high-potassium foods should be limited to prevent hyperkalemia, a condition in which potassium levels in the blood become too high.

D. Incorrect. Foods high in phosphorus should be restricted in chronic renal failure because the kidneys may have difficulty excreting excess phosphorus, leading to hyperphosphatemia, which can contribute to bone and mineral disorders.

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A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chronic renal failure. The client's GFR test result is 60 mL/min/1.73m². How should the nurse interpret this result?

Correct Answer is B

Explanation

A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

Correct Answer is B

Explanation

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

A nurse is providing a community education session about the risk factors for chronic renal failure. Which lifestyle factor should the nurse emphasize as a modifiable risk factor for kidney disease?

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

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?

A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

A client with chronic renal failure is scheduled for a GFR test. The client asks the nurse if there is anything they need to do to prepare for the test. What is the nurse's best response?

A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?

A nurse is assessing a client's risk factors for chronic renal failure. Which medication should the nurse recognize as a potential risk factor for kidney disease?