Exam (elaborations)
Ch. 18 Nutrition for Diseases of the Kidneys Exam Questions and Answers
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Ch. 18 Nutrition for Diseases of the Kidneys Exam Questions and Answers
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Ch. 18 Nutrition for Diseases of theKidneys Exam Questions and Answers
1. iiKidney iidisease iiaffects iithe iibody's iiability iito iimaintain
a. iibody iitemperature.
b. iibody iiweight.
c. iibone iihealth.
d. iibowel iifunction. ii- iiAnswers ii-C. iibone iihealth
Kidney iidisease iiprevents iithe iifinal iistep iiof iivitamin iiD iisynthesis iiand iidisrupts iicalcium
iiand iiphosphorus iimetabolism; iithus iiit iiadversely iiaffects iibone iihealth. iiThe iikidneys iido
iinot iiplay iia iirole iiin iiregulation iiof iibody iitemperature, iibowel iifunction, iior iibody iiweight.
2. iiIf iia iipatient iiis iilosing iisignificant iiamounts iiof iiprotein iiin iiurine, iihe iior iishe iiprobably
iihas
a. iiacute iirenal iifailure.
b. iichronic iirenal iifailure
c. iinephrotic iisyndrome.
d. iirenal iicalculi. ii- iiAnswers ii-C. iinephrotic iisyndrome
Loss iiof iiprotein iiin iithe iiurine iioccurs iiin iipatients iiwith iinephritic iisyndrome. iiAcute iiand
iichronic iirenal iifailure iicause, iirespectively, iiabrupt iiand iigradual iiloss iiof iirenal iifunction,
iibut iiprotein iiis iinot iiusually iilost iiin iithe iiurine. iiRenal iicalculi, iior iikidney iistones, iido iinot
iicause iiloss iiof iiprotein iiin iithe iiurine.
3. iiOne iiof iithe iinurses iiimportant iiroles iiin iicare iiof iipatients iiwith iinephrotic iisyndrome
iiis
a. iimonitoring iiserum iisodium iilevel.
b. iimonitoring iifluid iiintake iiand iioutput.
c. iiordering iia iihigh-protein, iilow-sodium iidiet.
d. iimonitoring iiserum iiphosphorus iilevel. ii- iiAnswers ii-B. iimonitoring iifluid iiintake iiand
iioutput
It iiis iivery iiimportant iifor iinurses iito iimonitor iifluid iiintake iiand iioutput iiof iipatients iiwith
iinephrotic iisyndrome iibecause iineeds iichange iias iikidney iifunction iichanges. iiProtein
iiintake iiis iiindividualized iito iiminimize iistress iion iithe iikidneys iiand iiprevent iimalnutrition.
iiSodium iiintake iiis iiusually iirestricted. iiOrdering iidiets iiis iithe iiresponsibility iiof iithe
iiphysician. iiThe iinurse iimay iialter iithe iiphysicians iiorders iiif iithe iipatients iiserum iisodium
, iilevels iiare iielevated, iibut iithis iiis iinot iithe iinurses iiprimary iiresponsibility. iiMonitoring
iiserum iiphosphorus iilevels iiis iimore iiimportant iifor iipatients iiwith iiend-stage iirenal
iidisease.
4. iiThe iibest iiway iito iiensure iithat iipatients iiwith iinephrotic iisyndrome iiare iiable iito iiuse
iitheir iidietary iiprotein iito iimaintain iilean iibody iitissue iiis iito
a. iiprovide ii1.5 iito ii2.0 iig iiprotein iiper iikilogram iiof iibody iiweight ii
iiper iiday.
b. iiencourage iidaily iiexercise.
c. iiensure iiadequate iienergy iiintake.
d. iiprovide iiadequate iidietary iipotassium. ii- iiAnswers ii-C. iiensure iiadequate iienergy
iiintake
Adequate iienergy iiintake iiis iiimportant iito iiensure iithat iiprotein iican iibe iiused iito
iimaintain iilean iibody iimass iirather iithan iifor iienergy. iiProtein iiintake iiis iiusually
iirestricted iito ii0.7 iito ii1.0 iig/kg/day iito iidecrease iithe iiburden iion iithe iikidneys. iiPatients
iiwith iinephrotic iisyndrome iiare iiusually iitoo iisick iito iiexercise. iiIncreasing iipotassium
iiintake iidoes iinot iiincrease iiretention iiof iimuscle iimass.
5. iiAn iiexample iiof iia iisource iiof iihidden iisodium iiis
a. iimouthwash.
b. iisaltine iicrackers.
c. iiopaque iisalt iishakers.
d. iiraw iifruits iiand iivegetables. ii- iiAnswers ii-A. iimouthwash
Hidden iisources iiof iisodium iiinclude iimouthwash; iiif iipatients iiuse iimouthwash, iithey
iishould iibe iiinstructed iinot iito iiswallow iiit. iiSaltine iicrackers iiare iicoated iiwith iivisible
iisalt. iiOpaque iisalt iishakers iido iinot iihide iithe iifact iithat iithey iicontain iisodium. iiRaw
iifruits iiand iivegetables iihave iilow iilevels iiof iisodium.
6. iiIf iia iipatient iiwith iiacute iirenal iifailure iigains ii2 iilb iiin ii24 iihours, iithe iicause iiis iilikely
iito iibe
a. iiurea iiretention.
b. iifluid iiretention.
c. iiincreased iifat iistores.
d. iiincreased iimuscle iimass. ii- iiAnswers ii-B. iifluid iiretention
In iipatients iiwith iiacute iirenal iifailure, iisudden iiincreases iiin iiweight iiare iiusually iicaused
iiby iifluid iiretention. iiMost iisuch iipatients iihave iivery iilittle iiappetite, iiand iiso iithey iiare
iiunlikely iito iigain iifat; iithey iiare iialso iiinactive, iiand iiso iithey iiare iiunlikely iito iiincrease
iimuscle iimass. iiAlso, iigains iiin iimuscle iimass iiand iifat iistores iitend iito iibe iislow. iiUrea
iiretention iidoes iinot iicause iian iiincrease iiin iiweight.
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