A client diagnosed with chronic renal failure is prescribed a ...

[bclement10]

A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that:
 
  1. protein sources are broken down and converted to urea, which is then filtered by the kidney.
  2. protein sources are of low biological value.
  3. protein increases calcium and sodium levels.
  4. deficit protein metabolism breaks down muscle tissue.

Question 2

The nurse is instructing a client diagnosed with type 2 diabetes mellitus on activities to reduce the onset of macrovascular complications. Which of the following should the nurse include in these instructions? (Select all that apply.)
 
  1. Attain a normal body weight
  2. Stop smoking
  3. Increase activity
  4. Keep blood pressure under control
  5. Decrease fat intake
  6. Ingest alcohol every day

[BUTTHOL369]

Answer to Question 1

1
Protein in the diet increases the amount of nitrogen waste the kidney must handle. Protein does not have low biological value. Protein does not increase calcium and sodium levels. A deficit in protein metabolism does not break down muscle tissue.

Answer to Question 2

1, 2, 3, 4, 5
Macrovascular complications associated with type 2 diabetes mellitus can be controlled by addressing the modifiable risk factors. The risk factors include obesity, smoking, sedentary lifestyle, high blood pressure, and fat intake. This is what the nurse should include in the instructions to this client. The client should not be instructed to ingest alcohol every day.

[bclement10]

Excellent

[helenmarkerine]

TYSM