c c c c c c c
aborated Further Rationales_ Study this One!
c c c c c
Thecnursecinstructscacclientcwithcchronicckidneycdiseasecwhociscreceivingchemodialysiscaboutcdieta
rycmodifications.cthecnursecdeterminescthatcthecclientcunderstandscthesecdietarycmodificationscifc
thecclientcselectscwhichcitemscfromcthecdietarycmenu?
1. Creamcofcwheat,cblueberries,ccoffee
2. Sausagecandceggs,cbanana,corangecjuice
3. Bacon,ccantaloupecmelon,ctomatocjuice
4. Curedcpork,cgrits,cstrawberries,cOJ
:cANSWER✅-c1.
Thecdietcforcacclientcwithcchronicckidneycdiseasecwhociscreceivingchemodialysiscshouldcincludeccon
trolledcamountscofcsodium,cphosphorus,ccalcium,cpotassiumcandcfluids.
Thecdegreectocwhichcancingestedcnutrientcgetscabsorbedcandciscavailablectocthecbodyciscwhichcofcth
ecfollowing?
-diffusion
-transport
-bioavailability
-absorption
:cANSWER✅-cCorrectcanswer:
bioavailability
Bioavailabilityciscinfluencedcbycsubstancescincfood,cdrugs,candcbodycstores.cMedicationsccancalsoci
nfluencecbioavailabilitycbyceithercblockingcorcenhancingcabsorption.
Thecvitamincmostccloselycassociatedcwithcproteincmetabolismcis
:cANSWER✅-cpyridoxine.
Acnutrientcthatchelpscpreventcfreecradicalcdamagectocmembranescis
:cANSWER✅-cselenium
AcrichcsourcecofcvitamincEcincthecdietcis
:cANSWER✅-csoybeancoil.
,Thecnutrientcintakecguidelinecthatcsetscthecmaximalcnutrientcintakecthatciscunlikelyctocposecacriskcof
ctoxicitycinchealthycindividualscisccalled
:cANSWER✅-cthecTolerablecUppercIntakecLevelc(UL).
Noncaloriccessentialcnutrientscincnecessarycsmallcamountscforcspecificcmetaboliccveryccontrolcandc
diseasecpreventioncareccalled
:cANSWER✅-cvitamins
Vitaminscregulatecbodycmetabolismcbycworkingcas
:cANSWER✅-cspecificccatalysts.
AcsignificantcsourcecofcvitamincAciscfoundcin
:cANSWER✅-cspinach.
Acvitamincthatcplayscacmajorcrolecincbloodcclottingcis
:cANSWER✅-cvitamincK.
Thecmineralcthatciscaccatalystcforcmanycreactionscinccellscthatcproducecenergycis
:cANSWER✅-cmagnesium
Thyroid-stimulatingchormoneccontrolscthecuptakecof
:cANSWER✅-ciodine.
Ironcplayscacrolecin
:cANSWER✅-chemoglobincsynthesis.
Thecmineralcforctheccontrolledcnecessarycoxidationcofccarbohydrate,cfat,candcproteincincproducingc
andcstoringcavailablecenergycforcthecbodycis
:cANSWER✅-cphosphorus
Thectracecmineralcthatcplayscacrolecinchemoglobincformationcandcgeneralcmetabolismcisc:cA
NSWER✅-ciron.
Ancimportantcfunctioncofcsodiumcis
:cANSWER✅-
watercbalance.cIronciscstoredca
c
s
,:cANSWER✅-cferritin
Majorcmineralscare
:cANSWER✅-crequiredcbycthecbodycincamountscofcmorecthanc100cmg/day.
Thecgreatestcsourcecofcdietaryczinccis
:cANSWER✅-cmeat.
Acfoodcthatciscacgoodcsourcecofccalciumcis
:cANSWER✅-cyogurt
Thecmajorcelectrolytecfoundcinsideccellscis
:cANSWER✅-cpotassium.
AcdecreasecincthecactivationcofcvitamincDcinckidneycdiseasecresultscin
:cANSWER✅-costeodystrophy
Medicalcnutritionctherapycforcacutecglomerulonephritiscconsistscof
:cANSWER✅-cadequateccaloriesctocmaintaincmetaboliccneeds
Duringchemodialysis,cproteincintakeciscusually
:cANSWER✅-catcleastc1.2cg/kg.
Elevatedcbloodcureacnitrogen,cserumccreatinine,candcserumcuriccacidclevelscarecreflectedcinctheclab
oratorycfindingcof
:cANSWER✅-cazotemia.
Forcpatientscwithcchronicckidneycfailure,cpotassiumcintakeciscbasedcon
:cANSWER✅-cserumcpotassiumclevel.
Patientscwithcchronicckidneycdiseasecoftencdevelopcanemiacduecto
:cANSWER✅-cthecinadequatecproductioncofcerythropoietin
Patientscwithcchronicckidneycfailurectreatedcwithcperitonealcdialysiscmustcconsidercneedscbasedco
ncenergy
:cANSWER✅-cabsorbedcfromcthecdialysate.cenergy
, Acpotentchormonecproducedcbycthecadrenalcglandscthatcactsconcthecdistalcnephronctubulectocreabs
orbcsodiumcis
:cANSWER✅-caldosterone
Thecmassivecedemacofcnephroticcsyndromecisccausedcby
:cANSWER✅-clargecproteinclossescincthecurine.
Symptomscofcchroniccrenalcfailurecinclude
:cANSWER✅-cdiarrhea.
Itcisccommoncforcpatientscwithcacuteckidneycfailurectocneed
:cANSWER✅-centeralcnutrition.
Thecabsencecofcurinecproduction,cindicatingckidneycfailure,cisccalled
:cANSWER✅-canuria.
Classiccsymptomscofcglomerulonephritiscinclude
:cANSWER✅-cproteinuria.
Thectypecofcdietcrecommendedcforcacpersoncwithcackidneycstonecdependscon
:cANSWER✅-ctheccompositioncofcthecstone.
ComparedcwithcthecpHcincthecsmallcintestine,cthecpHcincthecstomachcis
:cANSWER✅-clower.
Convertingcnoncarbohydratecsubstancescintocglucosecisccalled
:cANSWER✅-cgluconeogenesis.
Masticationciscancimportantcpartcofcdigestioncbecausecit
:cANSWER✅-cpreparescthecfoodcforcdigestioncbycenzymes
Phenylketonuriacisccausedcbycthecinabilityctocproducecthecenzymecneededcto
:cANSWER✅-cmetabolizecthecaminocacidcphenylalanine.
Thechormonecthatcstimulatescthecpancreasctocreleasecitscsecretionscis
:cANSWER✅-csecretin.