Mr. S is a 69-year-old dialysis client who lives alone. He often ...

[Tirant22]

Mr. S is a 69-year-old dialysis client who lives alone. He often comes to dialysis complaining of lower extremity edema. The nurse has discussed the importance of a low-sodium diet and Mr. S. denies using salt at meals.
 
  After a careful review of his diet history for the past week, the nurse has identified the source of dietary sodium from: 1. Canned soup, hot dogs, and pickles.
   2. Hamburgers, ketchup, and tossed salad.
   3. Lunch meat, frozen foods, and cereal.
   4. Canned fruit, ice cream, and cookies.

Question 2

Enteral feeding is preferred over parenteral nutrition whenever possible because enteral feeding
 
  a. is more satisfying for the client.
  b. allows the client to be ambulatory.
  c. reduces the risk of foodborne illness.
  d. maintains gut function and integrity.

[Heffejeff]

Answer to Question 1

1

Rationale: Foods that are processed or pickled are high in sodium content. These foods include hot dogs, canned soup, lunch meats, cheese, pickles, condiments, sausages, and salted snacks. Hamburgers, salad, cereal, canned fruit, ice cream, and cookies have a lower amount, or in some cases, no sodium. The client should be encouraged to read the content labels on all processed foods and avoid any with high amounts of sodium. Sodium from all sources should not exceed 1 to 3 grams per day for clients on dialysis.

Answer to Question 2

D
Enteral feeding is preferred over parenteral nutrition whenever possible because enteral feeding helps maintain gut function and integrity. It is not necessarily more satisfying for the client, al-though the presence of food in the intestines may help create a feeling of satiety. Ability for the client to be ambulatory is similar for enteral and parenteral nutrition. Enteral feeding can cause foodborne illness; this is not a problem with parenteral nutrition because food does not enter the gut, but parenteral nutrition may be associated with sepsis.

[Tirant22]

TY

[Heffejeff]

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