Nephrotic Syndrome Nutrition Therapy
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Questions and Answers

Which statement indicates the client understands the instructions about nutrition therapy for nephrotic syndrome?

  • I should limit my sodium intake by not using salt in cooking or at the table and avoiding foods high in sodium such as processed foods, fast foods, and convenience foods. (correct)
  • I need to limit my intake of fruit and vegetables that are high in potassium.
  • I should lose weight to decrease the workload on my kidneys.
  • I know I need to eat a high-protein diet to replace the protein lost in urine.
  • A healthy client with a family history of CKD asks how they can decrease their risk of developing kidney disease. Which of the following would be the nurse's best response?

  • We don't know how to lower the risk of CKD so the best thing you can do is to have your kidney function monitored regularly.
  • Eat a heart-healthy eating pattern; CVD and CKD share the same lifestyle risks. (correct)
  • If you have a positive family history, there is no way for you to lower your risk of CKD.
  • Limit your intake of plants because they are high in potassium and phosphorus, 2 nutrients that make your kidneys work harder.
  • When developing a teaching plan for a client who must restrict potassium, which fruits and vegetables would the nurse recommend for their low potassium content?

  • Mango, spinach, and raisins
  • Avocado, tomatoes, and potatoes
  • Kiwifruit, prune juice, and acorn squash
  • Apple, blueberries, and green beans (correct)
  • The nurse knows their instructions about preventing future kidney stones have been effective when the client verbalizes he should

    <p>lose weight to maintain healthy body weight.</p> Signup and view all the answers

    How do the protein recommendations for adults with CKD without diabetes differ from those who have diabetes?

    <p>Protein is more restricted for people who do not have diabetes.</p> Signup and view all the answers

    A client on hemodialysis asks if they can use popsicles to help relieve their thirst. Which of the following is the nurse's best response?

    <p>That's a great idea as long as you deduct the equivalent amount of fluid from your total daily fluid allowance.</p> Signup and view all the answers

    What characteristics of a Mediterranean-Style Eating Pattern may be beneficial to clients with CKD?

    <p>It includes a moderate intake of wine, which has anti-inflammatory and antioxidant properties.</p> Signup and view all the answers

    The client asks if they will need to follow a diet after they recover from a kidney transplant. Which of the following is the nurse's best response?

    <p>You may need to modify some aspects of your diet because of side effects from the medications you will be taking, and you should continue to eat a heart-healthy diet to decrease the risks of diabetes, hypertension, heart disease, and obesity.</p> Signup and view all the answers

    Which of the following is a known cause of nephrotic syndrome?

    <p>Lupus</p> Signup and view all the answers

    The goal of nutrition therapy for AKI is to provide an adequate amount of calories, protein, and other nutrients to prevent or minimize malnutrition. This is easy to achieve with oral, enteral, or parenteral nutrition.

    <p>False</p> Signup and view all the answers

    What are the calorie recommendations for patients with chronic kidney disease?

    <p>35cal/kg for adults younger than 60 years; 30 kg for those who are older</p> Signup and view all the answers

    Study Notes

    Nephrotic Syndrome and Nutrition Therapy

    • A client understands nutrition therapy instructions for nephrotic syndrome when they limit their sodium intake by not using salt in cooking or at the table and avoiding foods high in sodium.

    Decreasing Risk of CKD

    • A healthy client with a family history of CKD can decrease their risk by eating a heart-healthy eating pattern, as CVD and CKD share the same lifestyle risks.

    Potassium Restriction

    • For a client with potassium restriction, recommended fruits and vegetables with low potassium content include apple, blueberries, and green beans.

    Preventing Kidney Stones

    • Effective instructions for preventing future kidney stones involve maintaining a healthy body weight, not avoiding milk, cheese, and other sources of calcium.

    Protein Recommendations for CKD

    • Protein recommendations for adults with CKD without diabetes differ from those with diabetes, with more restricted protein intake for those with diabetes.

    Hemodialysis and Fluid Intake

    • For a client on hemodialysis, popsicles can be used to help relieve thirst, but the equivalent amount of fluid should be deducted from their total daily fluid allowance.

    Mediterranean-Style Eating Pattern and CKD

    • Characteristics of a Mediterranean-Style Eating Pattern beneficial to clients with CKD include:
      • Low in red and processed meats, limiting saturated fat, sodium, and phosphate intake
      • Moderate intake of wine, with anti-inflammatory and antioxidant properties

    Post-Kidney Transplant Diet

    • A client may not need to follow a diet after recovering from a kidney transplant, but this depends on individual circumstances.

    Nephrotic Syndrome and Nutrition Therapy

    • Nephrotic syndrome can be caused by conditions such as lupus.
    • Correct understanding of nutrition therapy for nephrotic syndrome involves limiting sodium intake by avoiding salt in cooking and at the table, andexcluding foods high in sodium, such as processed foods, fast foods, and convenience foods.

    Chronic Kidney Disease (CKD) Prevention

    • A healthy client with a family history of CKD can decrease their risk of developing kidney disease by following a heart-healthy eating pattern, as CVD and CKD share the same lifestyle risks.

    Potassium Restriction

    • When restricting potassium, recommended fruits and vegetables with low potassium content include apple, blueberries, and green beans.

    Preventing Kidney Stones

    • To prevent future kidney stones, it is essential to maintain a healthy body weight and not follow a high-protein diet.

    Protein Recommendations for CKD

    • Protein recommendations for adults with CKD differ depending on whether they have diabetes; protein is more restricted for people with diabetes.

    Hemodialysis and Fluid Management

    • Clients on hemodialysis can use popsicles to help relieve thirst, but they must deduct the equivalent amount of fluid from their total daily fluid allowance.

    Mediterranean-Style Eating Pattern for CKD

    • Characteristics of a Mediterranean-Style Eating Pattern that may be beneficial to clients with CKD include:
      • Low in red and processed meats, which limits saturated fat, sodium, and phosphate intake
      • Includes a moderate intake of wine, which has anti-inflammatory and antioxidant properties

    Nutrition Therapy for AKI

    • Goal: provide adequate calories, protein, and nutrients to prevent/minimize malnutrition
    • Routes of nutrition therapy: oral, enteral, or parenteral nutrition

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    Description

    This quiz assesses a client's understanding of nutrition therapy instructions for nephrotic syndrome, including diet restrictions and needs.

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