The daily recommendation for protein is 0.8 gm/kg/day for a ...

[awywial]

The daily recommendation for protein is 0.8 gm/kg/day for a client with chronic kidney disease (CKD). In a client with nephrotic syndrome, the daily protein recommendation is also 0.8 gm/kg/day plus:
 
  1. 13 grams of sodium.
   2. 23 grams of potassium from dietary sources.
   3. An additional 20 kcals/kg of calories from other sources.
   4. Additional protein equal to the amount of protein lost in the client's 24-hour urine collection.

Question 2

The client is overweight and following a low-carbohydrate/high-fat diet. What would be an appropriate breakfast on this diet?
 
  A) 1/2 cup of orange juice, 1 small banana, 1/4 cup of scrambled egg beaters, 2 slices of whole wheat toast, and 2 teaspoons of butter
  B) 1/2 cup of orange juice, 2 scrambled eggs cooked in 2 teaspoons of butter, and 1 oz of pork sausage
  C) 1/2 cup of orange juice, 1 oz of shredded wheat, 2 slices of whole wheat toast, 1 cup of skim milk, and 2 teaspoons of butter
  D) 2/3 cup of plain yogurt with 3/4 cup of blueberries, and 3 graham crackers

[carojassy25]

Answer to Question 1

4

Rationale: The daily recommendation for protein is 0.8 gm/kg/day for clients with CKD. Clients with nephrotic syndrome have the same recommendation with the additional amount of protein equal to the amount lost in the client's 24-hour urine collection. Clients with nephrotic syndrome should have sodium intake adjusted based on the degree of resulting edema. There are no potassium recommendations for clients with nephrotic syndrome.

Answer to Question 2

B
Feedback:
A low-carbohydrate/high-fat diet limits the carbohydrate intake at 20 g/day. The breakfast of orange juice, eggs, butter, and pork sausage fits the best. The other choices each contain items that are high in carbohydrates.