PN Adult Medical Surgical Practice Exam

Which dietary change should a client with chronic kidney disease implement to manage their condition effectively?

1. Limit their daily intake of protein.

2. Add a banana to their morning cereal.

3. Decreased intake of carbohydrates.

4. Season food with a salt substitute.

The correct answer is: Limit their daily intake of protein.

For a client with chronic kidney disease, limiting daily intake of protein is essential to managing their condition effectively. In chronic kidney disease, the kidneys are less able to filter out waste products, including those generated from protein metabolism. Higher protein intake can lead to an accumulation of nitrogenous wastes in the blood, which can contribute to symptoms of uremia and further deterioration of kidney function. By reducing protein intake, clients can help to lessen the workload on their kidneys, thereby slowing disease progression and reducing the risk of complications. This dietary management is often guided by a healthcare professional, who can tailor protein recommendations based on the stage of kidney disease and the client’s overall health status. The other options presented do not align with the dietary recommendations typically made for individuals with chronic kidney disease. For example, adding a banana increases potassium intake, which can be problematic since many clients with kidney disease need to limit potassium. Decreasing carbohydrates is not generally necessary or beneficial for managing kidney disease and may lead to other health issues. Additionally, salt substitutes often contain potassium, which should be restricted in this population. Therefore, the most effective dietary change a client should adopt is to limit their daily intake of protein.