Your patient has been diagnosed with CKD. He consumes very-high-fat foods and has elevated cholesterol. The focus of your nutrition therapy should be:
a. heart-healthy eating.
b. supplementing with B vitamins.
c. decreasing protein intake.
d. monitoring P and K.
Q. 2The basic principles of dialysis involve all of the following except:
a. diffusion of particles from areas of high concentration to low concentration.
b. osmosis of water moving to where solutes are more concentrated.
c. ultrafiltration, which utilizes the semipermeable membrane.
d. electrolyte movement from the ICF to the ECF.
Q. 3The mechanism that best describes how diabetes leads to CKD is:
a. insulin has a negative effect on the nephrons.
b. albumin penetrates the walls of the collecting tubules.
c. hyperglycemia may cause the glomerulus to thicken and increase its permeability.
d. blood glucose levels remain elevated because of the impaired excretory function of the kidneys.
Q. 4The most important intervention in CKD is:
a. decreasing the dietary protein that the kidney has to metabolize.
b. maintaining normal electrolyte and organic solute balance.
c. preventing anemia.
d. slowing the progression of the disease.
Q. 5A GFR of 15 mL/min/1.73 m3 means:
a. a renal diet is warranted.
b. you are on renal replacement therapy.
c. your blood Cr level should be low.
d. the Cr clearance should be high.
Q. 6Which of the following persons is at highest risk for developing CKD?
a. a female with ARF
b. a male with high protein intake who has had ARF in the past
c. a male diabetic with diagnosed proteinuria
d. a female African American who has lupus
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