g g g g g g g
aborated Further Rationales_ Study this One!
g g g g g
Thegnurseginstructsgagclientgwithgchronicgkidneygdiseasegwhogisgreceivingghemodialysisgaboutgdi
etarygmodifications.gthegnursegdeterminesgthatgthegclientgunderstandsgthesegdietarygmodificati
onsgifgthegclientgselectsgwhichgitemsgfromgthegdietarygmenu?
1. Creamgofgwheat,gblueberries,gcoffee
2. Sausagegandgeggs,gbanana,gorangegjuice
3. Bacon,gcantaloupegmelon,gtomatogjuice
4. Curedgpork,ggrits,gstrawberries,gOJ
:gANSWER✅-g1.
Thegdietgforgagclientgwithgchronicgkidneygdiseasegwhogisgreceivingghemodialysisgshouldgincludeg
controlledgamountsgofgsodium,gphosphorus,gcalcium,gpotassiumgandgfluids.
Thegdegreegtogwhichgangingestedgnutrientggetsgabsorbedgandgisgavailablegtogthegbodygisgwhichg
ofgthegfollowing?
-diffusion
-transport
-bioavailability
-absorption
:gANSWER✅-gCorrectganswer:
bioavailability
Bioavailabilitygisginfluencedgbygsubstancesgingfood,gdrugs,gandgbodygstores.gMedicationsgcangals
oginfluencegbioavailabilitygbygeithergblockinggorgenhancinggabsorption.
Thegvitamingmostgcloselygassociatedgwithgproteingmetabolismgis
:gANSWER✅-gpyridoxine.
Agnutrientgthatghelpsgpreventgfreegradicalgdamagegtogmembranesgis
:gANSWER✅-gselenium
AgrichgsourcegofgvitamingEgingthegdietgis
:gANSWER✅-gsoybeangoil.
,Thegnutrientgintakegguidelinegthatgsetsgthegmaximalgnutrientgintakegthatgisgunlikelygtogposegagri
skgofgtoxicityginghealthygindividualsgisgcalled
:gANSWER✅-gthegTolerablegUppergIntakegLevelg(UL).
Noncaloricgessentialgnutrientsgingnecessarygsmallgamountsgforgspecificgmetabolicgverygcontrolga
ndgdiseasegpreventiongaregcalled
:gANSWER✅-gvitamins
Vitaminsgregulategbodygmetabolismgbygworkinggas
:gANSWER✅-gspecificgcatalysts.
AgsignificantgsourcegofgvitamingAgisgfoundgin
:gANSWER✅-gspinach.
Agvitamingthatgplaysgagmajorgrolegingbloodgclottinggis
:gANSWER✅-gvitamingK.
Thegmineralgthatgisgagcatalystgforgmanygreactionsgingcellsgthatgproducegenergygis
:gANSWER✅-gmagnesium
Thyroid-stimulatingghormonegcontrolsgtheguptakegof
:gANSWER✅-giodine.
Irongplaysgagrolegin
:gANSWER✅-ghemoglobingsynthesis.
Thegmineralgforgthegcontrolledgnecessarygoxidationgofgcarbohydrate,gfat,gandgproteingingproduc
inggandgstoringgavailablegenergygforgthegbodygis
:gANSWER✅-gphosphorus
Thegtracegmineralgthatgplaysgagroleginghemoglobingformationgandggeneralgmetabolismgis
: ANSWER✅-giron.
g g
Angimportantgfunctiongofgsodiumgis
:gANSWER✅-
watergbalance.gIrongisgstoredg
g
as
,:gANSWER✅-gferritin
Majorgmineralsgare
:gANSWER✅-grequiredgbygthegbodygingamountsgofgmoregthang100gmg/day.
Theggreatestgsourcegofgdietarygzincgis
:gANSWER✅-gmeat.
Agfoodgthatgisgaggoodgsourcegofgcalciumgis
:gANSWER✅-gyogurt
Thegmajorgelectrolytegfoundginsidegcellsgis
:gANSWER✅-gpotassium.
AgdecreasegingthegactivationgofgvitamingDgingkidneygdiseasegresultsgin
:gANSWER✅-gosteodystrophy
Medicalgnutritiongtherapygforgacutegglomerulonephritisgconsistsgof
:gANSWER✅-gadequategcaloriesgtogmaintaingmetabolicgneeds
Duringghemodialysis,gproteingintakegisgusually
:gANSWER✅-gatgleastg1.2gg/kg.
Elevatedgbloodgureagnitrogen,gserumgcreatinine,gandgserumguricgacidglevelsgaregreflectedgingthe
glaboratorygfindinggof
:gANSWER✅-gazotemia.
Forgpatientsgwithgchronicgkidneygfailure,gpotassiumgintakegisgbasedgon
:gANSWER✅-gserumgpotassiumglevel.
Patientsgwithgchronicgkidneygdiseasegoftengdevelopganemiagduegto
:gANSWER✅-gtheginadequategproductiongofgerythropoietin
Patientsgwithgchronicgkidneygfailuregtreatedgwithgperitonealgdialysisgmustgconsidergneedsgbase
dgongenergy
:gANSWER✅-gabsorbedgfromgthegdialysate.genergy
, Agpotentghormonegproducedgbygthegadrenalgglandsgthatgactsgongthegdistalgnephrongtubulegtogr
eabsorbgsodiumgis
:gANSWER✅-galdosterone
Thegmassivegedemagofgnephroticgsyndromegisgcausedgby
:gANSWER✅-glargegproteinglossesgingthegurine.
Symptomsgofgchronicgrenalgfailureginclude
:gANSWER✅-gdiarrhea.
Itgisgcommongforgpatientsgwithgacutegkidneygfailuregtogneed
:gANSWER✅-genteralgnutrition.
Thegabsencegofgurinegproduction,gindicatinggkidneygfailure,gisgcalled
:gANSWER✅-ganuria.
Classicgsymptomsgofgglomerulonephritisginclude
:gANSWER✅-gproteinuria.
Thegtypegofgdietgrecommendedgforgagpersongwithgagkidneygstonegdependsgon
:gANSWER✅-gthegcompositiongofgthegstone.
ComparedgwithgthegpHgingthegsmallgintestine,gthegpHgingthegstomachgis
:gANSWER✅-glower.
Convertinggnoncarbohydrategsubstancesgintogglucosegisgcalled
:gANSWER✅-ggluconeogenesis.
Masticationgisgangimportantgpartgofgdigestiongbecausegit
:gANSWER✅-gpreparesgthegfoodgforgdigestiongbygenzymes
Phenylketonuriagisgcausedgbygtheginabilitygtogproducegthegenzymegneededgto
:gANSWER✅-gmetabolizegthegaminogacidgphenylalanine.
Theghormonegthatgstimulatesgthegpancreasgtogreleasegitsgsecretionsgis
:gANSWER✅-gsecretin.