Page 600 - Nutrition Essentials for Nursing Practice

588 U N I T 3 Nutrition in Clinical Practice

STUDY QUESTIONS

1. Which statement indicates the patient needs further instruction about diet for
nephrotic syndrome?
a. “I know I need to eat a high-protein diet to replace the protein lost in urine.”
b. “I need to limit my intake of saturated fat and cholesterol.”
c. “I should not use salt in cooking or at the table and avoid foods high in sodium
such as processed foods, fast foods, convenience foods, condiments, and canned
meat and vegetables.”
d. “I am going to try substituting soy protein for animal sources of protein because it
may be better for me.”

2. A client with predialysis CKD asks if it is okay that she saves all her meat allowance for
her evening meal. Which of the following would be the nurse’s best response?
a. “You cannot have any meat on a predialysis diet.”
b. “It doesn’t matter when you eat your meat allowance, so if you prefer to save it all
for dinner, that is fine.”
c. “If you want to eat your meat allowance all at one time, it would be better to eat it
for breakfast so that your body has all day to metabolize it.”
d. “It is best if you spread your meat allowance out over the whole day.”

3. When developing a teaching plan for a client who is on dialysis, which of the following
protein sources would the nurse suggest for a client who must also limit her intake of
phosphorus?
a. Beef
b. Cheese
c. Tofu
d. Kidney beans

4. The nurse knows her instructions about preventing future calcium oxalate stones have
been effective when the client verbalizes he should
a. Avoid milk, cheese, and other sources of calcium.
b. Take megadoses of vitamin C.
c. Consume a normal amount of dietary calcium spread out over the course of the day.
d. Eat a high-protein diet.

5. How do the protein recommendations for those with chronic kidney disease without
diabetes differ from those who have diabetes?
a. Protein is more restricted for people who do not have diabetes.
b. Protein is more restricted for people who have diabetes.
c. The protein recommendations do not differ for people with diabetes or without
diabetes.
d. There are no specific protein recommendations for people with diabetes because
carbohydrates and fat are the priority concerns.

6. A client on hemodialysis asks if she can use popsicles to help relieve her thirst. Which
of the following is the nurses’ best response?
a. “That’s a great idea as long as you deduct the equivalent amount of fluid from your
total daily fluid allowance.”
b. “Popsicles are empty calories. You are better off drinking just plain water.”
c. “Popsicles are great at relieving thirst, and because they are solid, they do not
count as fluid, so you can eat them as desired.”
d. “Hot things are better at relieving thirst than cold things. Try small amounts of hot
tea or coffee to relieve your thirst.”