Enteral feeding is preferred over parenteral nutrition in a client in chronic renal failure who needs support because:
a. there is decreased risk for aspiration.
b. parenteral feeding cannot provide all essential nutrients.
c. loss of protein, including antibodies, increases risk for infection and suppresses the immune system.
d. enteral formulas provide a higher density of proteins to replace those lost through renal dysfunction.
Q. 2What dietary restriction would be anticipated for a client in chronic renal failure who is not on dialysis?
a. sodium less than four grams daily
b. protein 0.6-0.8 grams per kilogram per day
c. less than 400 milligrams cholesterol per day
d. 25 kcalories per kilogram body weight daily
Q. 3A primary cause for calcium leaving the bone in the client in chronic renal failure is:
a. uremia.
b. hyperkalemia.
c. calcium oxalate.
d. hyperphosphatemia.
Q. 4A client with a sustained hourly urinary output of 15 milliliters per hour is:
a. developing diuresis.
b. demonstrating oliguria.
c. not a candidate for dialysis.
d. reflecting a glomerular filtration rate of at least 125 milliliters per minute.
Q. 5The client in renal failure displays edema of the face and extremities, most likely due to:
a. hyponatremia.
b. lack of activity.
c. muscle wasting.
d. protein loss through the kidneys.
Q. 6Elevation in blood pressure may occur, most likely as a result of:
a. diuresis.
b. release of renin.
c. production of erythropoietin.
d. conversion of vitamin D to its active form.
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